Individual
JARED DEAN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 1ST AVE SW, HILLSBORO, ND 58045-4301
(701) 430-9467
Mailing address
PO BOX 571, HILLSBORO, ND 58045-0571
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
ND
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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