DJINN GOLL FERGUSON

TACOMA, WA
NPI1376900118
Former NameANTHONY LARAY FERGUSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  230912)
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
-- DJINN GOLL FERGUSON LPN
9040 REID STREET MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 253-968-1110
Mailing Address
-- DJINN GOLL FERGUSON LPN
9040 REID STREET MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 253-968-1110
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