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1649753179
LACEY MARIE FERGUSON
MIDVALE, UT
NPI
1649753179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
LACEY MARIE FERGUSON
6856 S 700 E
MIDVALE, UT 84047-5772
Phone number: 801-743-6100
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Mailing Address
LACEY MARIE FERGUSON
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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