DERRICK BRIDGES

RALEIGH, NC
NPI1003257411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  2272)
Enumeration Date2013-07-13
Last Update Date2013-07-13
Business Address
-- DERRICK BRIDGES ATC,LAT
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
Mailing Address
-- DERRICK BRIDGES ATC,LAT
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number:
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