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1407611007
ANNA ELLYSE FERGUSON
DENTON, MD
NPI
1407611007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R266005)
Enumeration Date
2024-02-14
Last Update Date
2024-04-10
Business Address
ANNA ELLYSE FERGUSON NP
808 S 5TH AVE
DENTON, MD 21629-1398
Phone number: 410-479-2650
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Mailing Address
ANNA ELLYSE FERGUSON NP
808 S 5TH AVE
DENTON, MD 21629-1398
Phone number: 410-479-2650
Copy
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