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1710246301
CASEY KENAN BERGESON
TUCSON, AZ
NPI
1710246301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ CRNA0852)
Enumeration Date
2012-05-16
Last Update Date
2012-07-03
Business Address
Mr. CASEY KENAN BERGESON
1501 N CAMPBELL AVE
TUCSON, AZ 85724-0001
Phone number: 801-830-7797
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Mailing Address
Mr. CASEY KENAN BERGESON
5496 N LITTLE RIVER LN
TUCSON, AZ 85704-1768
Phone number: 801-830-7797
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