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1962161596
DALTON BERRY
BARDSTOWN, KY
NPI
1962161596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: KY 008445)
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
DALTON BERRY
120 LIFE CARE WAY
BARDSTOWN, KY 40004-2059
Phone number: 502-348-4220
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Mailing Address
DALTON BERRY
120 LIFE CARE WAY
BARDSTOWN, KY 40004-2059
Phone number:
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