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1780091231
JACQUE BURGER
FALLON, NV
NPI
1780091231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 01472-L)
Enumeration Date
2014-07-16
Last Update Date
2014-07-17
Business Address
-- JACQUE BURGER LDAC
1490 GRIMES ST
FALLON, NV 89406-3103
Phone number: 775-423-1412
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Mailing Address
-- JACQUE BURGER LDAC
PO BOX 1240
FALLON, NV 89407-1240
Phone number: 775-423-1412
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