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1740221068
GERALD MICHAEL FRAGASSO
CLOVIS, CA
NPI
1740221068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
GERALD MICHAEL FRAGASSO ATC
1052 CAROLINA AVE
CLOVIS, CA 93611-6243
Phone number: 559-917-8148
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Mailing Address
GERALD MICHAEL FRAGASSO ATC
1052 CAROLINA AVE
CLOVIS, CA 93611-6243
Phone number: 559-917-8148
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