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1417283854
IDA FERGUSON
PLYMOUTH MEETING, PA
NPI
1417283854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN269740)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
-- IDA FERGUSON LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- IDA FERGUSON LPN
RR 2 BOX 66
FALLS, PA 18615-9643
Phone number:
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