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1861691586
JEFFREY PARKE BERGESON
KINGMAN, AZ
NPI
1861691586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1582)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
JEFFREY PARKE BERGESON O.D.
1925 FLORENCE AVE
KINGMAN, AZ 86401-4617
Phone number: 971-404-8569
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Mailing Address
JEFFREY PARKE BERGESON O.D.
1925 FLORENCE AVE
KINGMAN, AZ 86401-4617
Phone number: 971-404-8569
Copy
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