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1487256038
JOSEPH PAUL BERGUM
SOUTHFIELD, MI
NPI
1487256038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201003453)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
Mr. JOSEPH PAUL BERGUM OTR
26900 FRANKLIN RD
SOUTHFIELD, MI 48033-5312
Phone number: 248-350-8070
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Mailing Address
Mr. JOSEPH PAUL BERGUM OTR
26900 FRANKLIN RD
SOUTHFIELD, MI 48033-5312
Phone number: 248-350-8070
Copy
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