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1972965895
GREGORY EARL FERGUS
TUBA CITY, AZ
NPI
1972965895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1146228)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
Mr. GREGORY EARL FERGUS RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
Mr. GREGORY EARL FERGUS RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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