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1184809063
TIMOTHY DAVID FERGUSON
ENID, OK
NPI
1184809063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OK 0243)
Enumeration Date
2008-01-09
Last Update Date
2008-01-09
Business Address
-- TIMOTHY DAVID FERGUSON
3535 WILLOW LAKE LANE
ENID, OK 73703
Phone number: 580-234-3655
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Mailing Address
-- TIMOTHY DAVID FERGUSON
3535 WILLOW LAKE LANE
ENID, OK 73703
Phone number: 580-234-3655
Copy
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