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1942417993
VIRGINIA FAGAN
UKIAH, CA
NPI
1942417993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC33774)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- VIRGINIA FAGAN
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number: 707-463-6525
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Mailing Address
-- VIRGINIA FAGAN
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number:
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