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1104859057
STEVEN EUGENE BURBACK
HOBBS, NM
NPI
1104859057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 333)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mr. STEVEN EUGENE BURBACK ATC, LAT
6610 N LOVINGTON HWY
HOBBS, NM 88240-9120
Phone number: 505-392-6561
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Mailing Address
Mr. STEVEN EUGENE BURBACK ATC, LAT
10711 ROSALIE DR
NORTHGLENN, CO 80233-3551
Phone number: 505-392-0212
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