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1750926408
MICHEL FERGUSON
VENICE, CA
NPI
1750926408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
MICHEL FERGUSON
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 626-465-5667
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Mailing Address
MICHEL FERGUSON
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number:
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