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1760885198
LISA FERGUSON
LINDALE, TX
NPI
1760885198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP126466)
Enumeration Date
2014-09-30
Last Update Date
2015-03-05
Business Address
-- LISA FERGUSON
3203 S MAIN ST
LINDALE, TX 75771-7727
Phone number: 903-882-0991
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Mailing Address
-- LISA FERGUSON
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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