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Organization

JM CLEMENTE CO. LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MARK CLEMENTE (OWNER/PRESIDENT)
(330) 392-7069
Entity
Organization

Contact information

Practice address
3100 NILES RD SE, WARREN, OH 44484-3276
(330) 392-7069
(330) 392-7071
Mailing address
3100 NILES RD SE, WARREN, OH 44484-3276
(330) 392-7069
(330) 392-7071

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171WH0202X
Home Modifications Contractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2939388
OH
01
7801552
ODMRDD
OH
Enumeration date
10/29/2009
Last updated
10/29/2009
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