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Individual

SARA FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
1052621
KY
367A00000X
Advanced Practice Midwife
Primary
3002188
KY
367A00000X
Advanced Practice Midwife
NM02965
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2022742
OH
05
78008869
KY
Enumeration date
07/10/2006
Last updated
12/19/2017
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