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1134780810
JASON FERGUSON
PHILADELPHIA, PA
NPI
1134780810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
JASON FERGUSON
947 S 6TH ST
PHILADELPHIA, PA 19147-4039
Phone number: 215-508-9215
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Mailing Address
JASON FERGUSON
947 S 6TH ST
PHILADELPHIA, PA 19147-4039
Phone number: 215-508-9215
Copy
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