Individual
JERIMY CLONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 E WOOD AVE, JACKSON, OH 45640-1237
(740) 646-0616
Mailing address
19 E WOOD AVE, JACKSON, OH 45640-1237
(740) 646-0616
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RCP.7452
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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