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1285370171
KERIN MYKAIL FERGUSON
LOGAN, UT
NPI
1285370171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
KERIN MYKAIL FERGUSON
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
KERIN MYKAIL FERGUSON
2386 N 150 E
NORTH LOGAN, UT 84341-3179
Phone number:
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