KIMBERLY ANN FERGUSON

MADISON, TN
NPI1245520071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: TX  OTA0000000280)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- KIMBERLY ANN FERGUSON COTA
1103 S GRAYCROFT AVE
MADISON, TN 37115-4427
Phone number: 615-406-5520
Mailing Address
-- KIMBERLY ANN FERGUSON COTA
1103 S GRAYCROFT AVE
MADISON, TN 37115-4427
Phone number: 615-406-5520
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