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Organization

FRIPPERIES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH ANN JACCARINO (PRESIDENT/ CERTIFIED MASTECTOMY FIT)
(860) 536-7858
Entity
Organization

Contact information

Practice address
15 W MAIN ST, MYSTIC, CT 06355-2509
(860) 536-7858
(860) 536-7858
Mailing address
15 W MAIN ST, MYSTIC, CT 06355-2509
(860) 536-7858
(860) 536-7858

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
7565484000
CT

Other

Enumeration date
08/30/2006
Last updated
12/12/2007
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