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1982370045
BRENNAN BERGERON
LAKE CHARLES, LA
NPI
1982370045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 221848)
Enumeration Date
2021-08-19
Last Update Date
2022-02-03
Business Address
BRENNAN BERGERON APRN, PMHNP-BC
2829 4TH AVE STE 150
LAKE CHARLES, LA 70601-7897
Phone number: 337-480-7800
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Mailing Address
BRENNAN BERGERON APRN, PMHNP-BC
PO BOX 123977 DEPT 3977
DALLAS, TX 75312-0001
Phone number: 337-494-2772
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