LORA MICHELLE FERGUSON

PORTALES, NM
NPI1881704955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  429)
Enumeration Date2006-08-30
Last Update Date2014-12-12
Business Address
-- LORA MICHELLE FERGUSON ATC, LAT
1500 S AVE K STATION 17
PORTALES, NM 88130-7400
Phone number: 575-562-4174
Mailing Address
-- LORA MICHELLE FERGUSON ATC, LAT
1423 S AVENUE G
PORTALES, NM 88130-6717
Phone number: 575-309-8710
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