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1518309350
JEREMY K BURDICK
FLAGSTAFF, AZ
NPI
1518309350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ RN125139)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
-- JEREMY K BURDICK FPN
1501 S YALE ST 252
FLAGSTAFF, AZ 86001-7304
Phone number: 928-774-1811
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Mailing Address
-- JEREMY K BURDICK FPN
1501 S YALE ST 252
FLAGSTAFF, AZ 86001-7304
Phone number: 928-774-1811
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