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1922029560
JENNIFFER SUE FERGUSON
LEESBURG, FL
NPI
1922029560
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Former Name
JENNIFFER SUE ELWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103323)
Enumeration Date
2006-07-21
Last Update Date
2010-08-23
Business Address
Mrs. JENNIFFER SUE FERGUSON PAC
601 E DIXIE AVE PLAZA 901
LEESBURG, FL 34748-5998
Phone number: 352-728-2404
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Mailing Address
Mrs. JENNIFFER SUE FERGUSON PAC
601 E DIXIE AVE PLAZA 901
LEESBURG, FL 34748-5998
Phone number: 352-728-2404
Copy
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