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1013692193
ALYSSA FERGUSON
SHAWNEE, OK
NPI
1013692193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
ALYSSA FERGUSON
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 316-621-1081
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Mailing Address
ALYSSA FERGUSON
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 316-621-1081
Copy
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