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1164278529
SANDRA FERGUSON
NIXA, MO
NPI
1164278529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2007019739)
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
SANDRA FERGUSON OTA/L
301 S MAIN ST
NIXA, MO 65714-5303
Phone number: 417-724-6200
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Mailing Address
SANDRA FERGUSON OTA/L
730 E GALLUP HILL RD
NIXA, MO 65714-8864
Phone number: 417-830-8932
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