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Individual

CONNOR BURGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7750 MANOR DR, MENTOR ON THE LAKE, OH 44060-3329
(845) 544-6751
Mailing address
7750 MANOR DR, MENTOR ON THE LAKE, OH 44060-3329
(845) 544-6751

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
4303822
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4303822
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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