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Individual

MRS. ANASTASIA J BERKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
402 S COUNTY ROAD 400 E, AVON, IN 46123-8427
(317) 501-4915

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001919A
IN

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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