Individual
GINGER CHRISTINA BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 GULF BREEZE PKWY, GULF BREEZE, FL 32561-7809
(850) 516-7582
Mailing address
4047 SOUNDPOINTE DR, GULF BREEZE, FL 32563-3581
(850) 516-7582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4774
FL
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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