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1710996178
LEE J BERGMANN
TACOMA, WA
NPI
1710996178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10001194)
Enumeration Date
2006-08-05
Last Update Date
2010-11-10
Business Address
-- LEE J BERGMANN PA-C
1708 YAKIMA AVE STE 105
TACOMA, WA 98405-5307
Phone number: 253-426-4420
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Mailing Address
-- LEE J BERGMANN PA-C
1708 YAKIMA AVE STE 105
TACOMA, WA 98405-5307
Phone number: 253-426-4420
Copy
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