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1104536770
KEVIN FERGUSON
NILES, OH
NPI
1104536770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
KEVIN FERGUSON
165 E PARK AVE
NILES, OH 44446-2352
Phone number: 330-544-8005
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Mailing Address
KEVIN FERGUSON
6960 WINTERPARK AVE
AUSTINTOWN, OH 44515-5606
Phone number: 330-301-5555
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