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1215953575
MICHAEL GRAY FERGUSON
LAFAYETTE, LA
NPI
1215953575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA 5243)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL GRAY FERGUSON DDS, MD
200 REPUBLIC AVE SUITE I
LAFAYETTE, LA 70508-6826
Phone number: 337-988-1870
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Mailing Address
Dr. MICHAEL GRAY FERGUSON DDS, MD
200 REPUBLIC AVE SUITE I
LAFAYETTE, LA 70508-6826
Phone number: 337-988-1870
Copy
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