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Individual
RICHARD FERGUSON
Active
Individual
RICHARD FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60191886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60191886
WA SATE DEPARTMENT OF HEALTH MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
08/07/2014
Last updated
08/07/2014
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