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1346094786
SHEVANNE A FERGUSON
ENFIELD, CT
NPI
1346094786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 45605)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
SHEVANNE A FERGUSON
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
SHEVANNE A FERGUSON
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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