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1366697955
LORRAINE DIANE JOLLY
WATERBURY, CT
NPI
1366697955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CT 004166)
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
Ms. LORRAINE DIANE JOLLY LMT
16 MIDWOOD AVE
WATERBURY, CT 06708-2431
Phone number: 203-591-1938
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Mailing Address
Ms. LORRAINE DIANE JOLLY LMT
PO BOX 1160
MIDDLEBURY, CT 06762-1160
Phone number:
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