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1982934303
GORDON JOHN BERGMAN
BREMERTON, WA
NPI
1982934303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-01-07
Last Update Date
2012-03-19
Business Address
Mr. GORDON JOHN BERGMAN
2821 MONTWOOD LN
BREMERTON, WA 98312-1936
Phone number: 360-689-3101
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Mailing Address
Mr. GORDON JOHN BERGMAN
2821 MONTWOOD LN
BREMERTON, WA 98312-1936
Phone number: 360-689-3101
Copy
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