JEFFREY BERGER

JEFFERSON, LA
NPI1427429968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  2255a2300x)
Enumeration Date2015-10-09
Last Update Date2015-10-09
Business Address
Mr. JEFFREY BERGER
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 504-905-4395
Mailing Address
Mr. JEFFREY BERGER
612 WILLOWRIDGE DR
LULING, LA 70070-3217
Phone number: 504-905-4395
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