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Organization

DUANE BURNETT

Active
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Organization

DUANE BURNETT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUANE BURNETTE CAS (ADMINISTRATOR)
(323) 807-6940
Entity
Organization

Contact information

Practice address
2901 W 141ST PL, SUITE 3, GARDENA, CA 90249-2763
(323) 807-6940
Mailing address
2901 W 141ST PL, SUITE 3, GARDENA, CA 90249-2763
(323) 807-6940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01063498
CA

Other

Enumeration date
10/28/2009
Last updated
10/28/2009
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