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1831516558
MARK FERGUSON
LANCASTER, CA
NPI
1831516558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA FA411010858)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- MARK FERGUSON
44900 60TH ST W
LANCASTER, CA 93536-7618
Phone number: 661-945-8458
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Mailing Address
-- MARK FERGUSON
44900 60TH ST W
LANCASTER, CA 93536-7618
Phone number: 661-945-8458
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