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Individual

JONATHON CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2835 MIAMI VILLAGE DR, MIAMISBURG, OH 45342-4916
(513) 354-3700
Mailing address
6480 HARRISON AVE, CINCINNATI, OH 45247-7961
(513) 354-3700

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
363A00000X
Physician Assistant
Primary
50.009012RX
OH

Other

Enumeration date
02/20/2017
Last updated
09/19/2024
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