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Individual

JOAN R FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 EVANS LN, SAINT LOUIS, MO 63121-1125
(314) 433-5292
Mailing address
7450 NATURAL BRIDGE RD UNIT 210564, SAINT LOUIS, MO 63121-8115
(314) 433-5292

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13853
MO

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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