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1629741004
JASON CLARK
MOUNT ORAB, OH
NPI
1629741004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
JASON CLARK
149 MERCY BLVD
MOUNT ORAB, OH 45154-0296
Phone number: 119-377-1231
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Mailing Address
JASON CLARK
149 MERCY BLVD
MOUNT ORAB, OH 45154-0296
Phone number: 119-377-1231
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