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1265810204
RICHARD BURRELL
BRUNSWICK, GA
NPI
1265810204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 7565)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
RICHARD BURRELL
3231 GLYNN AVE
BRUNSWICK, GA 31520-4851
Phone number: 912-265-9006
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Mailing Address
RICHARD BURRELL
3231 GLYNN AVE
BRUNSWICK, GA 31520-4851
Phone number: 912-265-9006
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