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1518376045
MICHAEL BURNETT
MESA, AZ
NPI
1518376045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 15077)
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
-- MICHAEL BURNETT LASAC
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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Mailing Address
-- MICHAEL BURNETT LASAC
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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