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1336307487
CHARLES R BURGETT
BOWLING GREEN, KY
NPI
1336307487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KY KY-0662)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
CHARLES R BURGETT LMFT
410 E 11TH AVE
BOWLING GREEN, KY 42101-2637
Phone number: 270-779-4271
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Mailing Address
CHARLES R BURGETT LMFT
8074 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-7337
Phone number: 270-779-4271
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