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Individual

JERRY ANNE BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 998-0322
(440) 998-4525
Mailing address
PO BOX 92987, CLEVELAND, OH 44194-3436
(440) 997-2262
(440) 997-6507

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06161721
OH

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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