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1700897121
JACK BURTON
HUNTERSVILLE, NC
NPI
1700897121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NY 215596-1)
Enumeration Date
2006-08-10
Last Update Date
2021-08-27
Business Address
JACK BURTON
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078-6541
Phone number: 704-947-5005
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Mailing Address
JACK BURTON
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078-6541
Phone number: 704-947-5005
Copy
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