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1740050764
JACQUELINE MARIE BURKS
RAVENNA, OH
NPI
1740050764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 6705177)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
JACQUELINE MARIE BURKS
668 PAGE ST APT 4
RAVENNA, OH 44266-2870
Phone number: 133-028-1820
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Mailing Address
JACQUELINE MARIE BURKS
668 PAGE ST APT 4
RAVENNA, OH 44266-2870
Phone number: 133-028-1820
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