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1073210449
HEATH GERALD FERGUSON
JACKSON, MS
NPI
1073210449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MS P0598)
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
HEATH GERALD FERGUSON
4500 INTERSTATE 55 NORTH FRONTAGE ROAD
JACKSON, MS 39211
Phone number: 601-405-7440
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Mailing Address
HEATH GERALD FERGUSON
142 NESLING COVE
MADISON, MS 39110
Phone number: 601-757-9215
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