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1760500185
BARRY LOUIS BERGMAN
BLOOMINGTON, IL
NPI
1760500185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019013555)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. BARRY LOUIS BERGMAN DDS
2306 STERN DRIVE
BLOOMINGTON, IL 61704-4406
Phone number: 309-663-5355
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Mailing Address
Mr. BARRY LOUIS BERGMAN DDS
PO BOX 1403
BLOOMINGTON, IL 61703-1403
Phone number:
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