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1518452762
TAVIS FERGUSON
ONTARIO, OR
NPI
1518452762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
TAVIS FERGUSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
TAVIS FERGUSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number:
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