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1811751480
MATTHEW WILLIAM FERGUSON
TACOMA, WA
NPI
1811751480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
MATTHEW WILLIAM FERGUSON
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250
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Mailing Address
MATTHEW WILLIAM FERGUSON
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250
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