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1306209721
WAYLON CASEY BERGERON
BEAUMONT, TX
NPI
1306209721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP130665)
Enumeration Date
2016-04-02
Last Update Date
2016-04-02
Business Address
-- WAYLON CASEY BERGERON FNP-C
6450 FOLSOM DR
BEAUMONT, TX 77706-7269
Phone number: 409-835-0524
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Mailing Address
-- WAYLON CASEY BERGERON FNP-C
6450 FOLSOM DR
BEAUMONT, TX 77706-7269
Phone number: 409-835-0524
Copy
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