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1154926293
KENNA NICOLE FERGUSON
ELKINS, WV
NPI
1154926293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
KENNA NICOLE FERGUSON
312 RAILROAD AVE
ELKINS, WV 26241-3859
Phone number: 130-470-4126
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Mailing Address
KENNA NICOLE FERGUSON
312 RAILROAD AVE
ELKINS, WV 26241-3859
Phone number: 130-470-4126
Copy
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