Individual
GERALD MICHAEL FRAGASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1052 CAROLINA AVE, CLOVIS, CA 93611-6243
(559) 917-8148
Mailing address
1052 CAROLINA AVE, CLOVIS, CA 93611-6243
(559) 917-8148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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