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1396027595
LISA FERGUSON
SANTA CRUZ, CA
NPI
1396027595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
-- LISA FERGUSON CMT/CHT
555 SOQUEL AVE 190
SANTA CRUZ, CA 95060
Phone number: 831-214-2984
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Mailing Address
-- LISA FERGUSON CMT/CHT
555 SOQUEL AVE 190
SANTA CRUZ, CA 95060
Phone number: 831-214-2984
Copy
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