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1386319549
LATISHA DOREEN FERGUSON
SILVER SPRING, MD
NPI
1386319549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
Mrs. LATISHA DOREEN FERGUSON WTS
2739 ATLANTA DR
SILVER SPRING, MD 20906-3739
Phone number: 240-205-5673
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Mailing Address
Mrs. LATISHA DOREEN FERGUSON WTS
13926 HULL STREET RD
MIDLOTHIAN, VA 23112-2004
Phone number: 240-205-5673
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