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1790224178
JULIAN BURGESS
MEMPHIS, TN
NPI
1790224178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- JULIAN BURGESS
2165 SPICER CV
MEMPHIS, TN 38134-5623
Phone number: 469-547-3885
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Mailing Address
-- JULIAN BURGESS
PO BOX 18220
MEMPHIS, TN 38181-0220
Phone number: 469-547-3885
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