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1154724011
RICHARD GILBERT BURGESS
RIVERSIDE, CA
NPI
1154724011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
-- RICHARD GILBERT BURGESS
3125 MYERS ST
RIVERSIDE, CA 92503-5527
Phone number: 951-374-3516
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Mailing Address
-- RICHARD GILBERT BURGESS
26200 REDLANDS BLVD APT 160
REDLANDS, CA 92373-7781
Phone number: 909-305-3417
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