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1558034033
MARK DAVID BURNS
RUSTON, LA
NPI
1558034033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 221221)
Enumeration Date
2021-07-29
Last Update Date
2022-11-04
Business Address
Mr. MARK DAVID BURNS FNP-C
411 E VAUGHN AVE STE 104
RUSTON, LA 71270-5975
Phone number: 318-254-2453
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Mailing Address
Mr. MARK DAVID BURNS FNP-C
2512 CEDAR CREEK DR
RUSTON, LA 71270-2502
Phone number: 859-227-9126
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