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Individual

SOOJI BERTHIAUME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1210 W CREEK COYOTE TRL, CLARKSVILLE, TN 37042-6385
(931) 503-1788
Mailing address
1152 ISHEE DR, CLARKSVILLE, TN 37042-6678
(203) 819-1751

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/09/2020
Last updated
06/17/2022
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