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1700402914
MICHAEL P FERGUSON
WOODLAND HILLS, CA
NPI
1700402914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 13442-R)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
MICHAEL P FERGUSON
6018 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
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Mailing Address
MICHAEL P FERGUSON
6018 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
Copy
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