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1336474642
EILEEN MORAN FERGUSON
PHILADELPHIA, PA
NPI
1336474642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: NJ 06NJ1211)
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
EILEEN MORAN FERGUSON R.P.A.
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9155
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Mailing Address
EILEEN MORAN FERGUSON R.P.A.
1217 IRIS AVE
WILLIAMSTOWN, NJ 08094-9516
Phone number: 856-262-8745
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