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1093076499
DIEADRA BURMINGHAM
LAWRENCE, KS
NPI
1093076499
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Other Name
DEA BURMINGHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-02308)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
-- DIEADRA BURMINGHAM PT
325 MAINE ST
LAWRENCE, KS 66044-1360
Phone number: 785-505-2712
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Mailing Address
-- DIEADRA BURMINGHAM PT
1488 N 600TH RD
BALDWIN CITY, KS 66006-7258
Phone number: 785-608-4333
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