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1194942748
GARY R. BURGESS
JACKSONVILLE, FL
NPI
1194942748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9103396)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- GARY R. BURGESS PA-C
4621 EMERSON ST
JACKSONVILLE, FL 32207-4920
Phone number: 904-399-8884
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Mailing Address
-- GARY R. BURGESS PA-C
1895 SENTRY OAK CT
GREEN COVE SPRINGS, FL 32043-3775
Phone number: 904-284-4190
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