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1467106856
SCOTTY L FERGUSON
SHREVEPORT, LA
NPI
1467106856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2022-02-05
Last Update Date
2022-02-25
Business Address
SCOTTY L FERGUSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
SCOTTY L FERGUSON
111 BETTY ST UNIT B
FARMERVILLE, LA 71241-2608
Phone number: 407-765-7759
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