JESSE CLARK

DUBUQUE, IA
NPI1699323931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
JESSE CLARK COTA
3485 WINDSOR AVE
DUBUQUE, IA 52001-1329
Phone number: 563-557-7180
Mailing Address
JESSE CLARK COTA
418 COUNCIL ST
ANAMOSA, IA 52205-4711
Phone number: 608-778-5587
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