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1720149198
JAMES LUTHER BURSTON
REIDSVILLE, NC
NPI
1720149198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 325)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
DR. JAMES LUTHER BURSTON PH.D.
857 KNOWLES RD 1117 S. MAIN STREET
REIDSVILLE, NC 27320-8633
Phone number: 336-342-3592
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Mailing Address
DR. JAMES LUTHER BURSTON PH.D.
857 KNOWLES RD
REIDSVILLE, NC 27320-8633
Phone number: 336-342-3592
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