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1326348095
TINA LOUISE FERGUSON
SHAWNEE, OK
NPI
1326348095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L 0056632)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
MRS. TINA LOUISE FERGUSON LPN
2307 S GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
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Mailing Address
MRS. TINA LOUISE FERGUSON LPN
2307 S GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
Copy
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