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1093412926
JACKIE VENCILL
ASHTABULA, OH
NPI
1093412926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: OH SC6346)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
JACKIE VENCILL
3551 N RIDGE RD E
ASHTABULA, OH 44004-4313
Phone number: 440-998-4014
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Mailing Address
JACKIE VENCILL
3551 N RIDGE RD E
ASHTABULA, OH 44004-4313
Phone number: 440-969-0492
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