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1245957448
TASHANA FERGUSON
BRONX, NY
NPI
1245957448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 349264)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
TASHANA FERGUSON
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467-2404
Phone number: 718-920-4800
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Mailing Address
TASHANA FERGUSON
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467-2404
Phone number: 718-920-4800
Copy
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