LISA BURBAGE

CHARLESTON, SC
NPI1174021265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2018-01-24
Last Update Date2018-01-24
Business Address
LISA BURBAGE
14 LOCKWOOD DR APT 12G
CHARLESTON, SC 29401-1138
Phone number: 843-442-8909
Mailing Address
LISA BURBAGE
14 LOCKWOOD DR APT 12G
CHARLESTON, SC 29401-1138
Phone number: 843-442-8909
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