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1962960252
COLTON LEE FERGUSON
JEFFERSON CITY, MO
NPI
1962960252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
COLTON LEE FERGUSON
2711 CEDARWOOD CT
JEFFERSON CITY, MO 65109-9313
Phone number: 573-821-5399
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Mailing Address
COLTON LEE FERGUSON
2711 CEDARWOOD CT
JEFFERSON CITY, MO 65109-9313
Phone number: 573-821-5399
Copy
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