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Alexandria Nicole Ferguson
Optician in Bryan, Ohio
NPI 1801593710

Alexandria Nicole Ferguson is a Optician based in Bryan, OH and is specialized in Optician. Alexandria Nicole Ferguson practices in Bryan, OH. The NPI Number for Alexandria Nicole Ferguson is 1801593710 and holds a License No. OP.016989-S (Ohio).

The current practice location address for Alexandria Nicole Ferguson is 1215 S Main St, Bryan, OH and can be reached out via phone at 419-630-2278 and via fax at 419-630-2280.

Location: 1215 S Main St, Bryan, OH, 43506-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801593710
Provider Name
Alexandria Nicole Ferguson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1215 S Main St, Bryan, OH, 43506-2442
Phone Number
419-630-2278
Fax Number
419-630-2280
Provider Enumeration Date
02/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 S Main St
City
Bryan
State
Ohio
Zip
43506-2442
Phone Number
419-630-2278
Fax Number
419-630-2280
person
Provider Business Mailing Address Details
Address
1215 S Main St
City
Bryan
State
Ohio
Zip
43506-2442
Phone Number
419-630-2278
Fax Number
419-630-2280
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.016989-S (Ohio)
Definition
Definition to come...
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