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Individual

CHRISTINA A FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1250 JOSEPH ST, LIVINGSTON, CA 95334-1744
(209) 262-7045
Mailing address
1250 JOSEPH ST, LIVINGSTON, CA 95334-1744

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA

Other

Enumeration date
12/17/2018
Last updated
10/13/2020
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