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1346210929
TIMOTHY K BURNHAM
JACKSONVILLE, FL
NPI
1346210929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL FL9102307)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY K BURNHAM PA-C, MPAS
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-3500
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Mailing Address
Mr. TIMOTHY K BURNHAM PA-C, MPAS
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-3500
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