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1861940660
MAREIKE FERGUSON
KETTERING, OH
NPI
1861940660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.004810RX)
Enumeration Date
2016-09-21
Last Update Date
2018-11-05
Business Address
MAREIKE FERGUSON PA
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6010
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Mailing Address
MAREIKE FERGUSON PA
3769 COLUMBUS PIKE
DELAWARE, OH 43015-7213
Phone number: 614-717-9840
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