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1306147087
STEPHANI MICHELLE BERGSTROM
LOUISVILLE, KY
NPI
1306147087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 1113038)
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
Mrs. STEPHANI MICHELLE BERGSTROM CRNA
4001 DUTCHMANS LN
LOUISVILLE, KY 40207-4714
Phone number: 502-893-1000
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Mailing Address
Mrs. STEPHANI MICHELLE BERGSTROM CRNA
601 S FLOYD ST SUITE NUMBER 407
LOUISVILLE, KY 40202-1835
Phone number: 502-629-2880
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