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1114121167
NICOLE L FERGUSSON
SALT LAKE CITY, UT
NPI
1114121167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: UT 2222843102)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- NICOLE L FERGUSSON nursing
550 W 700 S
SALT LAKE CITY, UT 84101-2227
Phone number: 801-531-1857
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Mailing Address
-- NICOLE L FERGUSSON nursing
609 WILSON AVE
SALT LAKE CITY, UT 84105-3007
Phone number: 801-467-4056
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