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1144008996
SAMUEL FERGUSON
TAYLORSVILLE, UT
NPI
1144008996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
SAMUEL FERGUSON
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
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Mailing Address
SAMUEL FERGUSON
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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