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1124105838
STANLEY R FERGUSON
NEWPORT, OR
NPI
1124105838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: OR PA00220)
Enumeration Date
2006-11-01
Last Update Date
2010-09-20
Business Address
STANLEY R FERGUSON P.A.-C
775 SW 9TH ST SUITE B
NEWPORT, OR 97365-4895
Phone number: 541-265-2007
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Mailing Address
STANLEY R FERGUSON P.A.-C
775 SW 9TH ST SUITE B
NEWPORT, OR 97365-4895
Phone number: 541-265-2007
Copy
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