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1104224047
SAMANTHA FERGUSON
OLYMPIA, WA
NPI
1104224047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60520512)
Enumeration Date
2014-12-09
Last Update Date
2019-02-21
Business Address
SAMANTHA FERGUSON PA-C
304 W BAY DR NW STE 301
OLYMPIA, WA 98502-4957
Phone number: 360-413-8670
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Mailing Address
SAMANTHA FERGUSON PA-C
304 W BAY DR NW STE 301
OLYMPIA, WA 98502-4957
Phone number: 360-413-8670
Copy
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