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1891060224
STANLEY A BURGHARDT
GRANTS PASS, OR
NPI
1891060224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- STANLEY A BURGHARDT
210 TACOMA ST
GRANTS PASS, OR 97526-9370
Phone number: 541-476-3302
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Mailing Address
-- STANLEY A BURGHARDT
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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