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1255411419
BRYAN LEONARD BERGHOUT
EVERETT, WA
NPI
1255411419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: WA PO00000813)
Enumeration Date
2006-10-16
Last Update Date
2024-02-05
Business Address
Dr. BRYAN LEONARD BERGHOUT DPM
10821 19TH AVE SE
EVERETT, WA 98208-5103
Phone number: 425-337-7000
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Mailing Address
Dr. BRYAN LEONARD BERGHOUT DPM
6405 S 3000 E STE 201
SALT LAKE CITY, UT 84121-6990
Phone number: 801-266-3113
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