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Individual
MR. MYRON JON BURGER
Active
Individual
MR. MYRON JON BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0151611
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0218661
NM
Other
Enumeration date
08/22/2019
Last updated
09/15/2021
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