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TRAVIS EUGENE BERGGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
118 FREEVILLE RD, DRYDEN, NY 13053-9625
(607) 844-8694
(607) 844-9121
Mailing address
118 FREEVILLE RD, DRYDEN, NY 13053-9625
(607) 844-9694
(607) 844-9121

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
672232
NY

Other

Enumeration date
11/17/2023
Last updated
11/17/2023
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