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1003257411
DERRICK BRIDGES
RALEIGH, NC
NPI
1003257411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 2272)
Enumeration Date
2013-07-13
Last Update Date
2013-07-13
Business Address
DERRICK BRIDGES ATC,LAT
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
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Mailing Address
DERRICK BRIDGES ATC,LAT
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number:
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