JUSTIN BURGESS

TACOMA, WA
NPI1396419891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: VA  0810008092)
Enumeration Date2021-08-06
Last Update Date2024-01-30
Business Address
JUSTIN BURGESS
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1110
Mailing Address
JUSTIN BURGESS
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431-1000
Phone number: 813-731-5290
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