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1790728012
HOMER A FERGUSON, JR, MD, PC
SWANSEA, IL
NPI
1790728012
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Entity Type
Organization
Authorized Contact
HOMER A FERGUSON
Owner
618-277-1130
Organization Subpart ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
Enumeration Date
2006-06-14
Last Update Date
2007-11-20
Business Address
HOMER A FERGUSON, JR, MD, PC
3990 N ILLINOIS
SWANSEA, IL 62226
Phone number: 618-277-1130
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Mailing Address
HOMER A FERGUSON, JR, MD, PC
3990 N ILLINOIS
SWANSEA, IL 62226
Phone number: 618-277-1130
Copy
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