Individual
ERIC ROBERT GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1 UNIVERSITY PL, MURFREESBORO, NC 27855-1855
(252) 398-6291
Mailing address
607 UNION ST, MURFREESBORO, NC 27855-2031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1985
NC
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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