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1316187123
REBECCA COYLE BERTHOLD
CHARLOTTESVILLE, VA
NPI
1316187123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001321)
Enumeration Date
2009-03-06
Last Update Date
2013-01-29
Business Address
Mrs. REBECCA COYLE BERTHOLD ATC
290 MASSIE ROAD
CHARLOTTESVILLE, VA 22904
Phone number: 434-982-5450
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Mailing Address
Mrs. REBECCA COYLE BERTHOLD ATC
5120 BUTE ST
CHESAPEAKE, VA 23321-1586
Phone number: 904-631-5004
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