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1063898716
LEE FERGUSON
OXFORD, MS
NPI
1063898716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 5560)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- LEE FERGUSON
120 VETERANS DR
OXFORD, MS 38655-3578
Phone number: 662-234-9898
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Mailing Address
-- LEE FERGUSON
60064 SWAN HILL RD
AMORY, MS 38821-8130
Phone number:
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