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1336381524
MATTHEW JOSEPH BERGAM
SPOKANE, WA
NPI
1336381524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA pt00007864)
Enumeration Date
2009-04-02
Last Update Date
2009-04-03
Business Address
Mr. MATTHEW JOSEPH BERGAM MPT
1224 E WESTVIEW CT
SPOKANE, WA 99218-3813
Phone number: 509-467-5626
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Mailing Address
Mr. MATTHEW JOSEPH BERGAM MPT
12920 E 29TH AVE
SPOKANE VALLEY, WA 99216-0296
Phone number: 509-927-2875
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