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1346208840
GRADY L BURLESON
FORT WALTON BEACH, FL
NPI
1346208840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME91868)
Enumeration Date
2006-05-03
Last Update Date
2009-04-16
Business Address
Dr. GRADY L BURLESON MD
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 850-863-7607
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Mailing Address
Dr. GRADY L BURLESON MD
228 YACHT CLUB DR NE
FORT WALTON BEACH, FL 32548-6422
Phone number: 904-521-2555
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