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1922343292
KELLY LOUISE BERGMAN
SWANTON, OH
NPI
1922343292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.02697)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- KELLY LOUISE BERGMAN
715 N MAIN ST
SWANTON, OH 43558-1042
Phone number: 419-826-0980
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Mailing Address
-- KELLY LOUISE BERGMAN
715 N MAIN ST
SWANTON, OH 43558-1042
Phone number: 419-826-0980
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