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1114566742
MATTHEW SCOTT FERGUSON
ALBANY, OR
NPI
1114566742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000002318)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
MATTHEW SCOTT FERGUSON
238 3RD AVE SE
ALBANY, OR 97321-2857
Phone number: 541-791-3411
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Mailing Address
MATTHEW SCOTT FERGUSON
238 3RD AVE SE
ALBANY, OR 97321-2857
Phone number: 541-791-3411
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