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1376267393
RICHARD LEE FERGUSON
RAVENNA, OH
NPI
1376267393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OH 249435)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
RICHARD LEE FERGUSON
6847 N CHESTNUT ST
RAVENNA, OH 44266-3929
Phone number: 330-577-5881
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Mailing Address
RICHARD LEE FERGUSON
6847 N CHESTNUT ST
RAVENNA, OH 44266-3929
Phone number: 330-577-5881
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