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1609049899
BRUCE D BURLESON
BROCKTON, MA
NPI
1609049899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
Mr. BRUCE D BURLESON
180 CENTRE ST
BROCKTON, MA 02302-2733
Phone number: 508-586-6300
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Mailing Address
Mr. BRUCE D BURLESON
39 THATCHER ST
BROCKTON, MA 02302-3944
Phone number: 617-970-9255
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