Individual
JERRY MCCLEAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 GRATIOT BLVD, MARYSVILLE, MI 48040-1145
(810) 388-1200
Mailing address
1609 8TH ST, PORT HURON, MI 48060-5841
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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