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1326082314
LARRY RICHARD BERGMAN
CHARLOTTE, NC
NPI
1326082314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 16268)
Enumeration Date
2006-06-16
Last Update Date
2007-08-25
Business Address
-- LARRY RICHARD BERGMAN CRNA
8800 N TRYON ST
CHARLOTTE, NC 28262-3300
Phone number: 704-863-5665
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Mailing Address
-- LARRY RICHARD BERGMAN CRNA
PO BOX 560727 ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28256-0727
Phone number: 704-863-5665
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