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1245330141
C. GLEN FERGUSON
PUEBLO, CO
NPI
1245330141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CO 17205)
Enumeration Date
2006-09-22
Last Update Date
2023-03-07
Business Address
Dr. C. GLEN FERGUSON D.O.
1615 BONFORTE BLVD
PUEBLO, CO 81001-1602
Phone number: 719-296-5840
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Mailing Address
Dr. C. GLEN FERGUSON D.O.
1615 BONFORTE BLVD
PUEBLO, CO 81001-1602
Phone number: 719-296-5840
Copy
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