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1629106562
BURNETT EUGENE ANCRUM
LOS ANGELES, CA
NPI
1629106562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-01
Last Update Date
2010-09-30
Business Address
Mr. BURNETT EUGENE ANCRUM Case Coordinator
340 N MADISON AVE
LOS ANGELES, CA 90004-3504
Phone number: 323-644-2026
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Mailing Address
Mr. BURNETT EUGENE ANCRUM Case Coordinator
1906 W 3RD ST
LOS ANGELES, CA 90057-2304
Phone number: 323-644-2026
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