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1619486073
PATTYA JEAN GANJANATHAVAT
MILFORD, CT
NPI
1619486073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CT 9711)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
Ms. PATTYA JEAN GANJANATHAVAT LMT
163 BROAD ST
MILFORD, CT 06460-4726
Phone number: 203-513-9594
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Mailing Address
Ms. PATTYA JEAN GANJANATHAVAT LMT
303R ISINGLASS RD
SHELTON, CT 06484-5708
Phone number: 405-613-0731
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