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1194245506
NICOLE J FERGUSON
DES MOINES, IA
NPI
1194245506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-11012)
Enumeration Date
2017-06-27
Last Update Date
2018-06-06
Business Address
NICOLE J FERGUSON DO
1111 6TH AVE
DES MOINES, IA 50314
Phone number: 515-643-2682
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Mailing Address
NICOLE J FERGUSON DO
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-2682
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