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1467292185
DEIDRA BURKEEN BERG
PADUCAH, KY
NPI
1467292185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4021980)
Enumeration Date
2024-05-30
Last Update Date
2024-06-03
Business Address
Mrs. DEIDRA BURKEEN BERG APRN
2605 KENTUCKY AVE STE 401
PADUCAH, KY 42003-3802
Phone number: 270-442-3539
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Mailing Address
Mrs. DEIDRA BURKEEN BERG APRN
2605 KENTUCKY AVE STE 401
PADUCAH, KY 42003-3802
Phone number: 270-442-3539
Copy
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