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1013227727
SIERRA LARAE BURGESS
BISMARCK, ND
NPI
1013227727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 1118)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- SIERRA LARAE BURGESS M.S.
210 S 12TH ST
BISMARCK, ND 58504-5622
Phone number: 701-222-3175
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Mailing Address
-- SIERRA LARAE BURGESS M.S.
210 S 12TH ST
BISMARCK, ND 58504-5622
Phone number: 701-222-3175
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