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1275925422
ZACK CLOUSE
COLUMBUS, OH
NPI
1275925422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.004250)
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
-- ZACK CLOUSE PA-C
793 W STATE ST 3 NORTH 09
COLUMBUS, OH 43222-1551
Phone number: 614-234-4242
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Mailing Address
-- ZACK CLOUSE PA-C
PO BOX 951231
CLEVELAND, OH 44193-0011
Phone number:
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