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1811768575
GWENDALYNN FERGUSON
LAKEWOOD, WA
NPI
1811768575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
GWENDALYNN FERGUSON
10015 LAKEWOOD DR SW
LAKEWOOD, WA 98499-3838
Phone number: 855-223-7123
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Mailing Address
GWENDALYNN FERGUSON
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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