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Individual

ROSEMARY BERGERON-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5061
Mailing address
266 MASSAPOAG AVE, SHARON, MA 02067-2713
(478) 719-8328

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004865
WA

Other

Enumeration date
06/19/2006
Last updated
07/08/2007
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