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1174247217
KELLY LYNN FERGUSON
GRAPEVINE, TX
NPI
1174247217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 2022012572)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
KELLY LYNN FERGUSON AGACNP
2020 W STATE HIGHWAY 114 STE 200
GRAPEVINE, TX 76051-8648
Phone number: 817-912-8400
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Mailing Address
KELLY LYNN FERGUSON AGACNP
2020 W STATE HIGHWAY 114 STE 200
GRAPEVINE, TX 76051-8648
Phone number: 817-912-8400
Copy
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