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1952580623
BRIAN TERELL BURLESON
LANCASTER, CA
NPI
1952580623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-30
Last Update Date
2007-11-02
Business Address
-- BRIAN TERELL BURLESON A.A.
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
-- BRIAN TERELL BURLESON A.A.
200 E AVENUE R BLDG. 8-106
PALMDALE, CA 93550-2601
Phone number: 661-726-2630
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