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1710105333
C. GLEN FERGUSON D.O. P.C.
PUEBLO, CO
NPI
1710105333
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Entity Type
Organization
Authorized Contact
C. GLEN FERGUSON
Physician
719-296-5840
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CO 17205)
Enumeration Date
2007-04-20
Last Update Date
2008-01-07
Business Address
C. GLEN FERGUSON D.O. P.C.
1615 BONFORTE BLVD
PUEBLO, CO 81001-1602
Phone number: 719-296-5840
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Mailing Address
C. GLEN FERGUSON D.O. P.C.
PO BOX 570
PUEBLO, CO 81002-0570
Phone number: 719-296-5840
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