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1720705734
EMILY BERG
ITHACA, NY
NPI
1720705734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 2000052416)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
EMILY BERG ATC
512 N CAMPUS
ITHACA, NY 14853-6007
Phone number: 607-255-4237
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Mailing Address
EMILY BERG ATC
12110 CREEKRIDGE DR
EAST AURORA, NY 14052-9531
Phone number:
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