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1912152059
GARY ROBERT BERGNER
SANTA MONICA, CA
NPI
1912152059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN218892)
Enumeration Date
2008-11-17
Last Update Date
2019-10-02
Business Address
GARY ROBERT BERGNER LVN
907 PICO BLVD
SANTA MONICA, CA 90405
Phone number: 310-314-6200
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Mailing Address
GARY ROBERT BERGNER LVN
1114 SAN VICENTE BLVD APT B
SANTA MONICA, CA 90402-2008
Phone number: 310-663-2336
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