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1003273061
ANTHONY BERSAMEN
TOOELE, UT
NPI
1003273061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- ANTHONY BERSAMEN
991 WHITAKER DR
TOOELE, UT 84074-9483
Phone number: 435-224-8062
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Mailing Address
-- ANTHONY BERSAMEN
991 WHITAKER DR
TOOELE, UT 84074-9483
Phone number: 435-224-8062
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