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1700460193
DYLAN FERGUSON
MILL CREEK, WV
NPI
1700460193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
DYLAN FERGUSON
2428 STONE COAL RD
MILL CREEK, WV 26280-4565
Phone number: 304-636-9326
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Mailing Address
DYLAN FERGUSON
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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