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1326389271
JEFFREY DAVENPORT FERGUSON
SANTA CLARA, CA
NPI
1326389271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2013-03-01
Last Update Date
2013-03-01
Business Address
MR. JEFFREY DAVENPORT FERGUSON ATC
4949 CENTENNIAL BLVD
SANTA CLARA, CA 95054-1229
Phone number: 408-562-4947
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Mailing Address
MR. JEFFREY DAVENPORT FERGUSON ATC
4949 CENTENNIAL BLVD
SANTA CLARA, CA 95054-1229
Phone number: 408-562-4947
Copy
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