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1023677614
GAIL THERESA BERGEN
SAN ANTONIO, TX
NPI
1023677614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: MA DA10457)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
GAIL THERESA BERGEN DA
427 9TH ST
SAN ANTONIO, TX 78215-1528
Phone number: 508-968-6582
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Mailing Address
GAIL THERESA BERGEN DA
427 9TH ST
SAN ANTONIO, TX 78215-1528
Phone number:
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