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1528459393
JACQUELINE COUCH
CLIVE, IA
NPI
1528459393
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Former Name
JACQUELINE DENISE ROSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: IA 257401)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- JACQUELINE COUCH CNA
2594 NW 152ND ST
CLIVE, IA 50325-4533
Phone number: 515-987-8155
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Mailing Address
-- JACQUELINE COUCH CNA
2594 NW 152ND ST
CLIVE, IA 50325-4533
Phone number: 515-987-8155
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