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1265734412
ADAM FERGUSON
MORGANTOWN, WV
NPI
1265734412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WV IN0006592)
Enumeration Date
2010-11-20
Last Update Date
2010-11-20
Business Address
-- ADAM FERGUSON
311 CREEKSIDE DR
MORGANTOWN, WV 26508-9099
Phone number: 304-241-1279
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Mailing Address
-- ADAM FERGUSON
311 CREEKSIDE DR
MORGANTOWN, WV 26508-9099
Phone number: 304-241-1279
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