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1265078398
MARK ALLEN FERGUSON
FUQUAY VARINA, NC
NPI
1265078398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P10692)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
MARK ALLEN FERGUSON PT
1221 BROAD ST
FUQUAY VARINA, NC 27526-3602
Phone number: 919-552-4580
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Mailing Address
MARK ALLEN FERGUSON PT
224 HIDDEN FARM LN
HOLLY SPRINGS, NC 27540-7493
Phone number: 919-579-4679
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