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1477717130
CRAIG RANDALL FERGUSON
RENTON, WA
NPI
1477717130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WA PENDING)
Enumeration Date
2008-07-11
Last Update Date
2008-12-08
Business Address
CRAIG RANDALL FERGUSON ARNP
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number: 425-203-0432
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Mailing Address
CRAIG RANDALL FERGUSON ARNP
3500 90TH AVE SE #258
MERCER ISLAND, WA 98040-3146
Phone number: 206-240-7998
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