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1033274402
LESLIE BURGESS
MISSOULA, MT
NPI
1033274402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MT 289)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
-- LESLIE BURGESS L.C.P.C.
821 S ORANGE ST
MISSOULA, MT 59801-3833
Phone number: 406-542-5655
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Mailing Address
-- LESLIE BURGESS L.C.P.C.
821 S ORANGE ST
MISSOULA, MT 59801-3833
Phone number: 406-542-5655
Copy
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