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1699459594
WILSON FERGUSON
THIBODAUX, LA
NPI
1699459594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: LA 009497183)
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-12
Last Update Date
2023-08-03
Business Address
WILSON FERGUSON MS
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
WILSON FERGUSON MS
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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