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Individual

DR. COLE D BERGESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
204 BEVINS LN STE D, GEORGETOWN, KY 40324
(715) 933-1001
Mailing address
204 BEVINS LN STE D, GEORGETOWN, KY 40324-6145
(502) 868-6008
(502) 868-6087

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4812-12
WI
111N00000X
Chiropractor
Primary
5313
KY

Other

Enumeration date
02/20/2012
Last updated
02/20/2012
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