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Individual

LAUREL K JOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2071 HERNDON AVE, CLOVIS, CA 93611-6101
(559) 324-5330
Mailing address
3057B RHINO ST, LEMOORE, CA 93245-2219
(559) 816-3059

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000270
CA

Other

Enumeration date
08/24/2006
Last updated
09/19/2012
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