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Individual

DR. CAMILLA FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1526 MARSETTA DR, BEAVERCREEK, OH 45432-2733
(937) 429-4445
(937) 429-4447
Mailing address
1526 MARSETTA DR, BEAVERCREEK, OH 45432-2733
(937) 429-4445
(937) 429-4447

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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