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1285774364
CHARLES FERGUSON
PHILADELPHIA, PA
NPI
1285774364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA 28469)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- CHARLES FERGUSON CMT
6813 GERMANTOWN AVE
PHILADELPHIA, PA 19119-2112
Phone number: 215-991-6151
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Mailing Address
-- CHARLES FERGUSON CMT
1408 STOTESBURY AVE
WYNDMOOR, PA 19038-7444
Phone number: 267-971-9409
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