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1750525812
LEE D BURGESS
BOISE, ID
NPI
1750525812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2009-04-20
Last Update Date
2019-02-05
Business Address
LEE D BURGESS
3811 E PARKCENTER BLVD
BOISE, ID 83716-4716
Phone number: 907-305-0510
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Mailing Address
LEE D BURGESS
3811 E PARKCENTER BLVD
BOISE, ID 83716-4716
Phone number: 907-305-0510
Copy
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