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1790160018
TRISHA FERGUSON
INCHELIUM, WA
NPI
1790160018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH60578808)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
TRISHA FERGUSON RDH
39 SHORT CUT ROAD
INCHELIUM, WA 99138-0001
Phone number: 509-722-7013
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Mailing Address
TRISHA FERGUSON RDH
416 E 21ST AVE
POST FALLS, ID 83854-9164
Phone number: 208-819-4954
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