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1518072206
SARAH FERGUSON
CRYSTAL LAKE, IL
NPI
1518072206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209004232)
Enumeration Date
2006-08-20
Last Update Date
2009-05-08
Business Address
-- SARAH FERGUSON NP
360 STATION DR
CRYSTAL LAKE, IL 60014-7978
Phone number: 815-356-5382
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Mailing Address
-- SARAH FERGUSON NP
13707 W JACKSON ST
WOODSTOCK, IL 60098-3188
Phone number: 815-337-1871
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