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1639300742
JAKE O MCCLOSKEY
CEDAR CITY, UT
NPI
1639300742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
Mr. JAKE O MCCLOSKEY
170 E ALTAMIRA DR
CEDAR CITY, UT 84720-3509
Phone number: 435-586-0213
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Mailing Address
Mr. JAKE O MCCLOSKEY
920 S 25 E
CEDAR CITY, UT 84720-4176
Phone number: 435-704-1661
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