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1811280985
KIRA BERCH
JACKSON, MS
NPI
1811280985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0361)
Enumeration Date
2011-05-24
Last Update Date
2014-12-30
Business Address
-- KIRA BERCH
1325 EAST FORTIFICATION
JACKSON, MS 39208
Phone number: 601-750-5445
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Mailing Address
-- KIRA BERCH
1325 EAST FORTIFICATION
JACKSON, MS 39208
Phone number: 601-750-5445
Copy
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