Individual
MARGE G FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N MITFORD DR, PUEBLO WEST, CO 81007-1049
(719) 251-1612
Mailing address
430 N MITFORD DR, PUEBLO WEST, CO 81007-1049
(719) 251-1612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0103184
CO
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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