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Individual
ZACK CLOUSE
Active
Individual
ZACK CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004250
OH
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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