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1922628759
BRIAN TROY BURGESS
ORANGE, CA
NPI
1922628759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CA LCI10150118)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
BRIAN TROY BURGESS LAADC LCI10150118
767 N HIGHLAND ST
ORANGE, CA 92867-7104
Phone number: 714-420-8050
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Mailing Address
BRIAN TROY BURGESS LAADC LCI10150118
767 N HIGHLAND ST
ORANGE, CA 92867-7104
Phone number: 714-420-8050
Copy
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