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Individual

JAMIE TIFFANY MARIE CLARKSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16065 STATE ROUTE 772, PIKETON, OH 45661-9725
(740) 222-9648
Mailing address
16065 STATE ROUTE 772, PIKETON, OH 45661-9725
(740) 222-9648

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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Product
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