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1114146750
JACKIE ELAINE CLOUSE
BURTON, OH
NPI
1114146750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Ms. JACKIE ELAINE CLOUSE
13231 BUTTERNUT RD
BURTON, OH 44021-9567
Phone number: 440-834-1089
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Mailing Address
Ms. JACKIE ELAINE CLOUSE
10005 KNOWLTON RD
GARRETTSVILLE, OH 44231-9793
Phone number: 330-322-1965
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