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1912358987
CLARISA FERGUSON
MAULDIN, SC
NPI
1912358987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: SC IHCP-0530)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- CLARISA FERGUSON
2 SHEARBROOK DR
MAULDIN, SC 29662-3191
Phone number: 864-346-5853
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Mailing Address
-- CLARISA FERGUSON
2 SHEARBROOK DR
MAULDIN, SC 29662-3191
Phone number: 864-346-5853
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