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1710547096
JEREMY R CARROLL
MIDDLEFIELD, CT
NPI
1710547096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CT 000307)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
JEREMY R CARROLL L.AC., MAOM
474 MAIN STREET
MIDDLEFIELD, CT 06455
Phone number: 860-704-9091
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Mailing Address
JEREMY R CARROLL L.AC., MAOM
1083 CHAMBERLAIN HILL RD
MIDDLETOWN, CT 06457-5546
Phone number: 860-922-1073
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