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1902281348
NILS BERGGREN
CEDAR RAPIDS, IA
NPI
1902281348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 078636)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
NILS BERGGREN
1220 JACOLYN DR SW
CEDAR RAPIDS, IA 52404-1288
Phone number: 319-899-3536
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Mailing Address
NILS BERGGREN
1010 RACHAEL ST APT 201
NORTH LIBERTY, IA 52317-7602
Phone number: 641-530-5075
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