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1528649118
OCTAVIUS BURNETT
HARRISBURG, PA
NPI
1528649118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: PA BH004937)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
OCTAVIUS BURNETT
1931 DAYBREAK CIR
HARRISBURG, PA 17110-9001
Phone number: 215-384-4512
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Mailing Address
OCTAVIUS BURNETT
1931 DAYBREAK CIR
HARRISBURG, PA 17110-9001
Phone number: 215-384-4512
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