JD BURGESS

GOODYEAR, AZ
NPI1326607474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0193)
Enumeration Date2019-06-12
Last Update Date2019-06-12
Business Address
JD BURGESS
13635 W LA REATA AVE
GOODYEAR, AZ 85395-2243
Phone number: 623-670-4930
Mailing Address
JD BURGESS
13635 W LA REATA AVE
GOODYEAR, AZ 85395-2243
Phone number: 623-670-4930
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