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Individual

MRS. REBEKAH MORIAH BERGEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
400 WEST 16TH STREET, PUEBLO, CO 81003
(719) 584-4000
Mailing address
400 WEST 16TH STREET, PUEBLO, CO 81003

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171283
CO

Other

Enumeration date
01/04/2013
Last updated
02/06/2013
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