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1396162889
ALPHA BERGER JOURNAL
PORT ST LUCIE, FL
NPI
1396162889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107784)
Enumeration Date
2014-03-24
Last Update Date
2014-05-16
Business Address
ALPHA BERGER JOURNAL
2115 SE LENNARD RD
PORT ST LUCIE, FL 34952-4742
Phone number: 772-335-1812
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Mailing Address
ALPHA BERGER JOURNAL
2115 SE LENNARD RD
PORT ST LUCIE, FL 34952-4742
Phone number: 772-335-1812
Copy
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