MATTIE FERGUSON

INDIANAPOLIS, IN
NPI1831385954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27057655A)
Enumeration Date2007-09-21
Last Update Date2007-09-21
Business Address
-- MATTIE FERGUSON
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250-1938
Phone number: 317-842-7435
Mailing Address
-- MATTIE FERGUSON
8708 PEMBERTON CIR
INDIANAPOLIS, IN 46260-6851
Phone number:
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