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1265893317
LESLIE BURGESS
FONTANA, CA
NPI
1265893317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003707)
Enumeration Date
2016-03-17
Last Update Date
2016-11-17
Business Address
-- LESLIE BURGESS NP
8110 MANGO AVENUE
FONTANA, CA 92335
Phone number: 909-427-1303
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Mailing Address
-- LESLIE BURGESS NP
8110 MANGO AVENUE
FONTANA, CA 92335
Phone number: 909-427-1303
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