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1396840583
LAVONNE A BERG
BOLIVAR, MO
NPI
1396840583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MO MD114202)
Enumeration Date
2006-09-13
Last Update Date
2011-01-17
Business Address
-- LAVONNE A BERG MD
1551 N. OAKLAND
BOLIVAR, MO 65613
Phone number: 417-328-6738
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Mailing Address
-- LAVONNE A BERG MD
1500 N OAKLAND AVE
BOLIVAR, MO 65613-3011
Phone number: 417-328-6738
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