Individual
MR. JACK HARRY BAUERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
3670 SAN ANTONIO RD, YORBA LINDA, CA 92886-6972
(714) 394-8127
(714) 970-0999
Mailing address
3670 SAN ANTONIO RD, YORBA LINDA, CA 92886-6972
(714) 394-8127
(714) 970-0999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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