JONATHAN MICHAEL DANIEL BERGER

KOKOMO, IN
NPI1386066801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002169A)
Enumeration Date2014-01-17
Last Update Date2014-01-17
Business Address
-- JONATHAN MICHAEL DANIEL BERGER ATC
2108 E BOULEVARD
KOKOMO, IN 46902-2401
Phone number: 765-626-0200
Mailing Address
-- JONATHAN MICHAEL DANIEL BERGER ATC
2108 E BOULEVARD
KOKOMO, IN 46902-2401
Phone number: 765-626-0200
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