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Individual
MRS. BRENDA KAY FERGUSON
Active
Individual
MRS. BRENDA KAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,L.D.N.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
708962
TN
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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