Individual
JACOB ROBERT MCCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSNC
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
(603) 628-7757
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
064248-21
NH
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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