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1255485108
JAMES R. BERGSTROM
TACOMA, WA
NPI
1255485108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WA AP30005538)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
JAMES R. BERGSTROM ARNP
9040 REID ST
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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Mailing Address
JAMES R. BERGSTROM ARNP
9040 REID ST
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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