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1497022974
GARY WAYNE FERGUSON
LEBANON, OR
NPI
1497022974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OR HAS-P-10133821)
Enumeration Date
2011-11-28
Last Update Date
2015-11-30
Business Address
-- GARY WAYNE FERGUSON
625 N 5TH ST
LEBANON, OR 97355-2875
Phone number: 541-791-7997
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Mailing Address
-- GARY WAYNE FERGUSON
625 N 5TH ST
LEBANON, OR 97355-2875
Phone number: 541-791-7997
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