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1770645376
JAMES R BERGERON M D A MED CORP
SHREVEPORT, LA
NPI
1770645376
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Entity Type
Organization
Authorized Contact
JAMES R BERGERON
President
318-221-2623
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 009227)
Enumeration Date
2006-12-14
Last Update Date
2020-08-22
Business Address
JAMES R BERGERON M D A MED CORP
2751 ALBERT L BICKNELL DR SUITE 2-D
SHREVEPORT, LA 71103-3920
Phone number: 318-221-2623
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Mailing Address
JAMES R BERGERON M D A MED CORP
2751 ALBERT BICKNELL DRIVE SUITE 2-D
SHREVEPORT, LA 71103
Phone number: 318-221-2623
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