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Individual

DR. JUSTIN ANDREW BERGSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2627 GRIFFIN AVE., ENUMCLAW, WA 98022
(360) 825-5459
Mailing address
PO BOX 727, ENUMCLAW, WA 98022-0727
(360) 825-5459

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60169869
WA

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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