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1215419353
DEIDRE LYNN FERGASON
TYLER, TX
NPI
1215419353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: TX 103800)
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
Mrs. DEIDRE LYNN FERGASON OTR
3505 OLD JACKSONVILLE HWY
TYLER, TX 75703
Phone number: 903-368-0357
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Mailing Address
Mrs. DEIDRE LYNN FERGASON OTR
3505 OLD JACKSONVILLE HWY
TYLER, TX 75703
Phone number: 903-368-0357
Copy
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