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1710204268
MARGARET LOUSIE FAGAN
IVORYTON, CT
NPI
1710204268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CT 004676)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
-- MARGARET LOUSIE FAGAN LMT
20 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-391-2070
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Mailing Address
-- MARGARET LOUSIE FAGAN LMT
20 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-391-2070
Copy