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1801187588
JOHN FOGLEMAN
GRASS VALLEY, CA
NPI
1801187588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-04-28
Last Update Date
2011-04-28
Business Address
JOHN FOGLEMAN
440 HENDERSON ST SUITE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
JOHN FOGLEMAN
440 HENDERSON ST SUITE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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