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1851941017
BRADLEY BERGAN
SACRAMENTO, CA
NPI
1851941017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 281807)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
BRADLEY BERGAN
630 BERCUT DR
SACRAMENTO, CA 95811-0110
Phone number: 916-441-3819
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Mailing Address
BRADLEY BERGAN
6725 ADMIRAL AVE
FAIR OAKS, CA 95628-3216
Phone number:
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