DALE PHILIP FERGUSON

PEORIA, AZ
NPI1790844322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2055X Respite Care Respite Care, Mental Illness, Child
(Licence: AZ  11264)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
MR. DALE PHILIP FERGUSON
8770 W PARADISE DR
PEORIA, AZ 85345
Phone number: 623-486-8307
Mailing Address
MR. DALE PHILIP FERGUSON
8770 W PARADISE DR
PEORIA, AZ 85345
Phone number: 623-486-8307
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