CODY LANE BERGMAN

LOUISVILLE, KY
NPI1114500741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-02
Last Update Date2021-05-02
Business Address
Mr. CODY LANE BERGMAN
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
Mailing Address
Mr. CODY LANE BERGMAN
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
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