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1336345768
KENNY FERGUSON
BURLINGTON, NJ
NPI
1336345768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NE01215300)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
-- KENNY FERGUSON LPN
261 CONNECTICUT DR SUITE 5
BURLINGTON, NJ 08016-4177
Phone number: 800-950-6066
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Mailing Address
-- KENNY FERGUSON LPN
2310 BACON STREET
PORT NORRIS, NJ 08349
Phone number:
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