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Individual

MRS. REBECCA JANE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2908 MALL DRIVE, FLORENCE, AL 35630-1534
(256) 767-2702
(256) 760-1870
Mailing address
2908 MALL DRIVE, FLORENCE, AL 35630-1534
(256) 767-2702
(256) 760-1870

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-064714
AL

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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