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1114051323
BARRY MARTIN BONGBERG
BAKERSFIELD, CA
NPI
1114051323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- BARRY MARTIN BONGBERG
2525 NORTH CHESTER
BAKERSFIELD, CA 93308
Phone number: 661-868-1842
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Mailing Address
-- BARRY MARTIN BONGBERG
PO BOX 1000
BAKERSFIELD, CA 93302-1000
Phone number: 661-868-6601
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