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Individual

MRS. JACQUELYN MCCLOSKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
922 BEACHFRONT DR, PAINESVILLE, OH 44077-7909
(440) 669-3842
Mailing address
922 BEACHFRONT DR, PAINESVILLE, OH 44077-7909
(440) 669-3842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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