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1073148235
JAMES DOUGLAS BERGUM
SANTA CRUZ, CA
NPI
1073148235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
242T00000X Perfusionist
(Licence: 049011)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
JAMES DOUGLAS BERGUM CCP
1555 SOQUEL DR
SANTA CRUZ, CA 95065-1794
Phone number: 855-489-4580
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Mailing Address
JAMES DOUGLAS BERGUM CCP
144 HOLM RD SPC 31
WATSONVILLE, CA 95076-2427
Phone number: 831-277-0810
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