Individual
MR. MICHEL CLEMENT BERNARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 LAUREL ESTATES CIR, CHUCKEY, TN 37641-6157
(423) 329-2276
Mailing address
PO BOX 235, CHUCKEY, TN 37641-0235
(423) 329-2276
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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