Individual
MRS. MARY CLAIRE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FITTER/DISPENSER
Contact information
Practice address
4746 S BROADWAY AVE, TYLER, TX 75703-1308
(903) 561-8774
(903) 561-8787
Mailing address
346 BAGANIE LN, BULLARD, TX 75757-3010
(903) 330-6798
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80480
TX
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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