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1447027529
TRAE BERKELEY JUSTICE
MEMPHIS, TN
NPI
1447027529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 7666)
Enumeration Date
2023-12-07
Last Update Date
2023-12-08
Business Address
TRAE BERKELEY JUSTICE
795 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9475
Phone number: 901-255-6532
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Mailing Address
TRAE BERKELEY JUSTICE
6435 AUTUMN OAKS DR
OLIVE BRANCH, MS 38654-6933
Phone number: 662-910-0353
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