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1487055893
MIRANDA L. FERGUSON
TROY, MI
NPI
1487055893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007086)
Enumeration Date
2014-09-05
Last Update Date
2022-07-22
Business Address
Mrs. MIRANDA L. FERGUSON
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
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Mailing Address
Mrs. MIRANDA L. FERGUSON
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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