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Individual

JONATHAN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA, APRN

Contact information

Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-1111
(513) 862-8857
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
(859) 341-2666
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020618
OH
367500000X
Certified Registered Nurse Anesthetist
506761
OH

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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