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1063061331
BREE FERGUSON
COEUR D ALENE, ID
NPI
1063061331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-20419)
Enumeration Date
2019-09-09
Last Update Date
2024-04-15
Business Address
BREE FERGUSON
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814-4401
Phone number: 208-625-3555
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Mailing Address
BREE FERGUSON
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-3555
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