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1538942081
MICHAEL WALLACE FUGITT
LANCASTER, CA
NPI
1538942081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
MICHAEL WALLACE FUGITT
44226 10TH ST W
LANCASTER, CA 93534-4134
Phone number: 661-942-4719
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Mailing Address
MICHAEL WALLACE FUGITT
3172 EAGLE WAY
ROSAMOND, CA 93560-6218
Phone number: 661-941-6144
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