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Individual

MARGUERITE BERKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
216 ADAMS LN, BOONE, NC 28607-7758
(781) 718-3856
Mailing address
425 JACK BRANCH DR, BOONE, NC 28608-7758

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3012
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BOC219042
BOC
Enumeration date
09/23/2019
Last updated
09/23/2019
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