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1740600683
JASON BURKLOW
LAKE CHARLES, LA
NPI
1740600683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 306979)
Enumeration Date
2014-04-18
Last Update Date
2023-02-01
Business Address
JASON BURKLOW M.D.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8730
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Mailing Address
JASON BURKLOW M.D.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-474-7290
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