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Individual

MS. REBECCA DVORAK BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7589
(701) 227-7575
Mailing address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7589
(701) 227-7575

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R27811
ND
183700000X
Pharmacy Technician
TECH1115
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54523
ND
Enumeration date
11/14/2006
Last updated
01/28/2014
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