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Individual
DR. CAMILLA FERGUSON
Active
Individual
DR. CAMILLA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1845
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020637
ANTHEM BCBS
OH
01
—
31-1559068-00
BWC
OH
Enumeration date
07/06/2006
Last updated
06/21/2013
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