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1679698005
BURDETTE O LEIKVOLL
PEORIA, AZ
NPI
1679698005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC0331)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. BURDETTE O LEIKVOLL LPC
10559 N 99TH AVE
PEORIA, AZ 85345-5413
Phone number: 623-974-0357
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Mailing Address
Mr. BURDETTE O LEIKVOLL LPC
10559 N 99TH AVE
PEORIA, AZ 85345-5413
Phone number: 623-974-0357
Copy
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