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1366904054
KEITH WALTER BURCZAK
FORT SAM HOUSTON, TX
NPI
1366904054
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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
2019-04-02
Last Update Date
2024-08-01
Business Address
KEITH WALTER BURCZAK DO
3698 CHAMBERS PASS BLDG 4TH
FORT SAM HOUSTON, TX 78234-7766
Phone number: 210-539-3219
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Mailing Address
KEITH WALTER BURCZAK DO
3698 CHAMBERS PASS BLDG 4TH
FORT SAM HOUSTON, TX 78234-7766
Phone number: 210-539-3219
Copy
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