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1609517937
KYLE BERGANTZ
SACRAMENTO, CA
NPI
1609517937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61193)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-04-01
Last Update Date
2022-06-06
Business Address
KYLE BERGANTZ PA
4500 12TH AVE
SACRAMENTO, CA 95820-1437
Phone number: 805-748-4387
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Mailing Address
KYLE BERGANTZ PA
4500 12TH AVE
SACRAMENTO, CA 95820-1437
Phone number:
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