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1972227015
LARRY CHARLES WENTWORTH
SOUTH CHINA, ME
NPI
1972227015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
Mr. LARRY CHARLES WENTWORTH
23 VASSALBORO RD
SOUTH CHINA, ME 04358-5203
Phone number: 120-748-5616
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Mailing Address
Mr. LARRY CHARLES WENTWORTH
23 VASSALBORO RD
SOUTH CHINA, ME 04358-5203
Phone number: 120-748-5616
Copy