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Mary Elizabeth Koger

Nurse's Aide in Cleveland, OH. Individual provider (NPI-1).

NPI number1033247697
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1033247697
Entity type
Individual (NPI-1)
Name
Miss Mary Elizabeth Koger
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide320922870804OHYes

Practice location

3717 Barlett Street
Cleveland, OH 44128-4806

Phone 216-751-5176

Mailing address

19200 Roseland Ave
G-349
Euclid, OH 44117-1385

Phone 216-624-6444

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