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1760454391
EDWARD CARL BERGEN
LAKE CHARLES, LA
NPI
1760454391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0011X Internal Medicine, Interventional Cardiology
(Licence: LA DO000438)
Enumeration Date
2006-02-07
Last Update Date
2022-03-25
Business Address
EDWARD CARL BERGEN D.O.
1717 OAK PARK BLVD FL 2
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-3278
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Mailing Address
EDWARD CARL BERGEN D.O.
PO BOX 122152 DEPT 2152
DALLAS, TX 75312-2152
Phone number: 337-494-2772
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