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1174097257
DARREN VINCENT FERGUSON
ST PETERSBURG, FL
NPI
1174097257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL pta23928)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
Mr. DARREN VINCENT FERGUSON PTA
255 59TH ST N
ST PETERSBURG, FL 33710-8539
Phone number: 727-345-2775
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Mailing Address
Mr. DARREN VINCENT FERGUSON PTA
255 59TH ST N
ST PETERSBURG, FL 33710-8539
Phone number:
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