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1134695679
GERALD GEORGE CLEMENT
JACKSON HEIGHTS, NY
NPI
1134695679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
GERALD GEORGE CLEMENT
3524 83RD ST
JACKSON HEIGHTS, NY 11372-5229
Phone number: 718-639-0700
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Mailing Address
GERALD GEORGE CLEMENT
3524 83RD ST
JACKSON HEIGHTS, NY 11372-5229
Phone number: 347-906-0148
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