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1346935657
MORGAN LANE FERGUSON
TUPELO, MS
NPI
1346935657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
MORGAN LANE FERGUSON DO
860 S MADISON ST
TUPELO, MS 38801-4905
Phone number: 662-377-3000
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Mailing Address
MORGAN LANE FERGUSON DO
1440 N LOCUST GROVE RD UNIT 27D
MERIDIAN, ID 83642-7674
Phone number: 530-410-9859
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