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1396700357
RICHARD K BURGESS
LIHUE, HI
NPI
1396700357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
Mr. RICHARD K BURGESS ATC
3577 LALA RD
LIHUE, HI 96766-9520
Phone number: 808-274-3193
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Mailing Address
Mr. RICHARD K BURGESS ATC
2910 AUKOI ST
LIHUE, HI 96766-1607
Phone number: 808-245-8519
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