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1346990702
LUKE WILLIAM BURNHAM
JACKSON, MS
NPI
1346990702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
LUKE WILLIAM BURNHAM DO
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1113
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Mailing Address
LUKE WILLIAM BURNHAM DO
2164 SOUTHWOOD RD
JACKSON, MS 39211-6168
Phone number: 601-408-1858
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