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1528143625
BERNARD BUTTS
CASA GRANDE, AZ
NPI
1528143625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10497)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- BERNARD BUTTS LISAC
210 E COTTONWOOD LN
CASA GRANDE, AZ 85222-2514
Phone number: 520-836-1688
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Mailing Address
-- BERNARD BUTTS LISAC
265 N GILBERT RD #1052
MESA, AZ 85203-8248
Phone number: 480-251-6865
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