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1396968384
PETER LEONARD GERGEN
NACOGDOCHES, TX
NPI
1396968384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA01120)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Mr. PETER LEONARD GERGEN PA-C
1401 S UNIVERSITY DR
NACOGDOCHES, TX 75961-6488
Phone number: 936-560-5668
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Mailing Address
Mr. PETER LEONARD GERGEN PA-C
1401 S UNIVERSITY DR P. O. BOX 632040
NACOGDOCHES, TX 75961-6488
Phone number: 936-560-5668
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