JIM W BERNGEN

POTEAU, OK
NPI1588984496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TR0400X Psychologist, Rehabilitation
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
-- JIM W BERNGEN BA/PSRS
208 GEORGIA PL
POTEAU, OK 74953-2004
Phone number: 918-658-3909
Mailing Address
-- JIM W BERNGEN BA/PSRS
208 GEORGIA PL
POTEAU, OK 74953-2004
Phone number: 918-658-3909
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