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Individual
REBECCA B BERQUIST
Active
Individual
REBECCA B BERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50360
TX
332S00000X
Hearing Aid Equipment
50360
TX
Other
Enumeration date
09/20/2006
Last updated
02/08/2011
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