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Keirstan Mirgon
Student in an Organized Health Care Education/Training Program in Sugar Grove, Ohio
NPI 1164946869

Keirstan Mirgon is a Student in an Organized Health Care Education/Training Program based in Sugar Grove, OH. Keirstan Mirgon practices in Sugar Grove, OH. The NPI Number for Keirstan Mirgon is 1164946869 and holds a License No. (Ohio).

The current practice location address for Keirstan Mirgon is 6180 Mirgon Rd, Sugar Grove, OH and can be reached out via phone at 740-415-7245.

Location: 6180 Mirgon Rd, Sugar Grove, OH, 43155-9779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164946869
Provider Name
Keirstan Mirgon
Credential
Provider Entity Type
Individual
Gender
Female
Address
6180 Mirgon Rd, Sugar Grove, OH, 43155-9779
Phone Number
740-415-7245
Fax Number
Provider Enumeration Date
08/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
924738597271 01 OH MEDICAL MUTUAL
institution
Provider Business Practice Location Address Details
Address
6180 Mirgon Rd
City
Sugar Grove
State
Ohio
Zip
43155-9779
Phone Number
740-415-7245
Fax Number
person
Provider Business Mailing Address Details
Address
6180 Mirgon Rd
City
Sugar Grove
State
Ohio
Zip
43155-9779
Phone Number
740-415-7245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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