LAQUANTE OSCAR FERGUSON

BURTON, MI
NPI1821788142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-05-10
Last Update Date2023-05-10
Business Address
LAQUANTE OSCAR FERGUSON
1383 E MAPLE AVE
BURTON, MI 48529-2059
Phone number: 810-964-0412
Mailing Address
LAQUANTE OSCAR FERGUSON
1383 E MAPLE AVE
BURTON, MI 48529-2059
Phone number: 810-964-0412
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