JONATHAN FERGUSON

MANDEVILLE, LA
NPI1154779551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200450)
Enumeration Date2016-05-26
Last Update Date2016-05-26
Business Address
-- JONATHAN FERGUSON MS, LAT, ATC
26301 LA-1088
MANDEVILLE, LA 70448
Phone number: 985-624-5046
Mailing Address
-- JONATHAN FERGUSON MS, LAT, ATC
1000 OCHSNER BLVD
COVINGTON, LA 70433-8107
Phone number: 985-875-2828
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