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1205386307
LARS M FAGERSTROM
MADERA, CA
NPI
1205386307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- LARS M FAGERSTROM MSW
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-3000
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Mailing Address
-- LARS M FAGERSTROM MSW
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-3000
Copy
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