KYLE J BERRA

RICHLAND CENTER, WI
NPI1386833390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  573-039)
Enumeration Date2007-10-16
Last Update Date2007-10-16
Business Address
-- KYLE J BERRA ATC, LAT
333 E. SECOND ST
RICHLAND CENTER, WI 53581
Phone number: 608-647-6321
Mailing Address
-- KYLE J BERRA ATC, LAT
P.O. BOX 338
NORTH FREEDOM, WI 53951
Phone number: 608-522-4693
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