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1104250323
JASON BURCHETT
WRIGHT PATTERSON AFB, OH
NPI
1104250323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: CO DR.0054147)
Enumeration Date
2013-08-23
Last Update Date
2024-08-16
Business Address
JASON BURCHETT DO
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 937-938-8489
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Mailing Address
JASON BURCHETT DO
2510 5TH ST
WRIGHT PATTERSON AFB, OH 45433-7951
Phone number: 937-938-8489
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