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1366006256
MATTHEW C JOLLEY
GRAND JUNCTION, CO
NPI
1366006256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO 0018908)
Enumeration Date
2019-04-25
Last Update Date
2019-06-11
Business Address
MATTHEW C JOLLEY LMT
514 28 1/4 RD UNIT 1
GRAND JUNCTION, CO 81501-4961
Phone number: 970-242-8162
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Mailing Address
MATTHEW C JOLLEY LMT
125 S ELM ST APT 5
FRUITA, CO 81521-2630
Phone number: 970-639-2629
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