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1306159868
DAVID WARREN BURNSIDE
WARREN, OH
NPI
1306159868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 084429)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
-- DAVID WARREN BURNSIDE
1624 DUFFUS RD NE
WARREN, OH 44484-1105
Phone number: 330-856-5730
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Mailing Address
-- DAVID WARREN BURNSIDE
1624 DUFFUS RD NE
WARREN, OH 44484-1105
Phone number: 330-856-5730
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