JILL BURBANK

STAFFORD, KS
NPI1124117163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1501002)
Enumeration Date2006-10-11
Last Update Date2008-01-07
Business Address
-- JILL BURBANK PA
802 W BROADWAY
STAFFORD, KS 67578
Phone number: 620-234-6826
Mailing Address
-- JILL BURBANK PA
802 W BROADWAY PO BOX 309
STAFFORD, KS 67578
Phone number: 620-234-6826
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