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1518570118
STEPHANIE P BERGEN
SALT LAKE CITY, UT
NPI
1518570118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
-- STEPHANIE P BERGEN MS RD CD
1132 E BRYAN AVE APT A
SALT LAKE CITY, UT 84105-2508
Phone number: 802-310-0068
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Mailing Address
-- STEPHANIE P BERGEN MS RD CD
1132 E BRYAN AVE APT A
SALT LAKE CITY, UT 84105-2508
Phone number: 802-310-0068
Copy
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