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Individual

MRS. CARA BERGMAN PONISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
905 CRYSTAL FALLS PKWY, LEANDER, TX 78641-1995
(512) 528-0970
(512) 260-8466
Mailing address
905 CRYSTAL FALLS PKWY, LEANDER, TX 78641-1995
(512) 528-0970
(512) 260-8466

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35155
TX

Other

Enumeration date
12/17/2009
Last updated
12/17/2009
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