JACK BURTON

FORT MOORE, GA
NPI1649992355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SC  2804)
Enumeration Date2022-09-19
Last Update Date2025-01-14
Business Address
JACK BURTON RD
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 202-939-2577
Mailing Address
JACK BURTON RD
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number:
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