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1336173905
RANDY SCOTT BURKE
JACKSON, MS
NPI
1336173905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: MS 40-13)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. RANDY SCOTT BURKE Ph.D.
1500 EAST WOODROW WILSON DRIVE ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC
JACKSON, MS 39216
Phone number: 601-362-4471
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Mailing Address
Dr. RANDY SCOTT BURKE Ph.D.
409 PROVISION PKWY
BRANDON, MS 39042-7909
Phone number: 601-362-4471
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