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1295729481
JEFFREY MARK BURNHAM
BATON ROUGE, LA
NPI
1295729481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: LA 017109)
Enumeration Date
2005-09-02
Last Update Date
2021-03-30
Business Address
Dr. JEFFREY MARK BURNHAM MD
10310 THE GROVE BLVD STE 100
BATON ROUGE, LA 70836-6455
Phone number: 225-761-5200
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Mailing Address
Dr. JEFFREY MARK BURNHAM MD
12916 MORGAN MEADOW AVENUE
BATON ROUGE, LA 70818
Phone number: 225-938-9287
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