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1134301476
BRUCE FRANKLIN BURGO
FORT LEONARD WOOD, MO
NPI
1134301476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 004763)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
MR. BRUCE FRANKLIN BURGO LCSW
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1507
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Mailing Address
MR. BRUCE FRANKLIN BURGO LCSW
PO BOX 33029
KANSAS CITY, MO 64114-0029
Phone number: 816-524-3255
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