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1194371740
KELLIE M FERGUSON
PORTLAND, OR
NPI
1194371740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
KELLIE M FERGUSON Behavior Techinician
3535 N LOMBARD ST
PORTLAND, OR 97217-5901
Phone number: 800-273-4292
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Mailing Address
KELLIE M FERGUSON Behavior Techinician
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 714-848-8319
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