BLAKE R BURCHETT

PRESTONSBURG, KY
NPI1083902837
Entity TypeOrganization
Authorized ContactBLAKE R BURCHETT
Owner
606-886-8466
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2011-07-14
Last Update Date2011-07-14
Business Address
BLAKE R BURCHETT
535 N LAKE DR
PRESTONSBURG, KY 41653-1278
Phone number: 606-886-8466
Mailing Address
BLAKE R BURCHETT
535 N LAKE DR
PRESTONSBURG, KY 41653-1278
Phone number: 606-886-8466
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