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1992301220
JORDAN FERGUSON
AUBURN, CA
NPI
1992301220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-12-10
Last Update Date
2024-04-03
Business Address
JORDAN FERGUSON
11512 B AVE
AUBURN, CA 95603-2605
Phone number: 530-906-0837
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Mailing Address
JORDAN FERGUSON
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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