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1508145509
JENNIFER DIANE BERG
FRESNO, CA
NPI
1508145509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 219668)
Enumeration Date
2011-08-08
Last Update Date
2023-11-29
Business Address
JENNIFER DIANE BERG
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 209-328-0143
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Mailing Address
JENNIFER DIANE BERG
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 209-328-0143
Copy
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