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MR. BRUCE EDWARD FERGUSON ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1184651119

Individual Registrant:
MR. BRUCE EDWARD FERGUSON ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
29 EMMONS PARK DR  TAFT, CA 93268-2317 US
Tel: 661-763-7729  Fax: 661-763-7888

Contact information for business:
3613 SYCAMORE CREEK DR  BAKERSFIELD, CA 93313-5526 US
Tel: 661-304-1379  Fax: --

Registration Information:
NPI: 1184651119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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