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1114304425
BREANNA J. FERGUSON
TAVARES, FL
NPI
1114304425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL PO4013)
Enumeration Date
2015-05-06
Last Update Date
2019-06-11
Business Address
Dr. BREANNA J. FERGUSON D.P.M.
870 S DUNCAN DR
TAVARES, FL 32778-4044
Phone number: 352-432-8434
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Mailing Address
Dr. BREANNA J. FERGUSON D.P.M.
870 S DUNCAN DR
TAVARES, FL 32778-4044
Phone number: 352-432-8434
Copy
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