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1609441609
SHAMIR BERGERON
MOUNT DORA, FL
NPI
1609441609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11013119)
Enumeration Date
2021-05-21
Last Update Date
2023-02-21
Business Address
Mrs. SHAMIR BERGERON APRN
5741 ANSLEY WAY
MOUNT DORA, FL 32757-8005
Phone number: 352-989-7808
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Mailing Address
Mrs. SHAMIR BERGERON APRN
2710 DORA AVE
TAVARES, FL 32778-4970
Phone number: 352-508-5076
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