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1487854691
SHELLY KAY BERGUM
SACRAMENTO, CA
NPI
1487854691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 17398)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
Mrs. SHELLY KAY BERGUM NP
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5538
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Mailing Address
Mrs. SHELLY KAY BERGUM NP
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5538
Copy
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