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1376582940
VICKI J BURNHAM
LEESBURG, FL
NPI
1376582940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9188221)
Enumeration Date
2006-06-06
Last Update Date
2008-05-20
Business Address
MISS VICKI J BURNHAM ARNP
600 E DIXIE AVE
LEESBURG, FL 34748-5925
Phone number: 352-323-5762
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Mailing Address
MISS VICKI J BURNHAM ARNP
11040 FORT KING RD
DADE CITY, FL 33525-8554
Phone number: 352-567-1339
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