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1316491426
ALLEN DWAYNE BURSE
NORTH LAS VEGAS, NV
NPI
1316491426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
ALLEN DWAYNE BURSE
2007 RAIN STORM CT
NORTH LAS VEGAS, NV 89032-4857
Phone number: 702-904-4847
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Mailing Address
ALLEN DWAYNE BURSE
2007 RAIN STORM CT
NORTH LAS VEGAS, NV 89032-4857
Phone number: 702-904-4847
Copy
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