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1730727108
AVNI BERGUM
OKEMOS, MI
NPI
1730727108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704293729)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
AVNI BERGUM NP
2109 HAMILTON RD STE 217
OKEMOS, MI 48864-1700
Phone number: 517-580-0575
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Mailing Address
AVNI BERGUM NP
2109 HAMILTON RD STE 217
OKEMOS, MI 48864-1700
Phone number: 517-580-0575
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