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1730681487
HEATHER BERRY
KAMUELA, HI
NPI
1730681487
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Former Name
HEATHER MOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: HI AT-56)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
HEATHER BERRY ATC
65-1692 KOHALA MOUNTAIN RD
KAMUELA, HI 96743-8476
Phone number: 808-881-4061
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Mailing Address
HEATHER BERRY ATC
75-5660 KOPIKO ST STE C-7 #339
KAILUA-KONA, HI 96740
Phone number: 808-283-8858
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