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1982300711
BREANA JANE FERGUSON
CHARLESTON, WV
NPI
1982300711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: WV 112631)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
BREANA JANE FERGUSON AGACNP-BC
3415 MACCORKLE AVE SE
CHARLESTON, WV 25304-1334
Phone number: 304-388-5432
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Mailing Address
BREANA JANE FERGUSON AGACNP-BC
329 EUREKA RD
CHARLESTON, WV 25314-2151
Phone number: 507-273-7376
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