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1497286637
HENRY BERGQUIST
LOS ANGELES, CA
NPI
1497286637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-21
Last Update Date
2017-03-21
Business Address
HENRY BERGQUIST
2020 ZONAL AVE STE IRD624
LOS ANGELES, CA 90089-0121
Phone number: 323-409-6771
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Mailing Address
HENRY BERGQUIST
51 N WIOTA ST
PHILADELPHIA, PA 19104-2212
Phone number: 617-733-2078
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