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1760450225
RONALD BRENT BURBANK
CAMP PENDLETON, CA
NPI
1760450225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 05-26693)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
Dr. RONALD BRENT BURBANK D.O
14021 BOQUITA DR ATTN: MENTAL HEALTH
CAMP PENDLETON, CA 92055-5191
Phone number: 760-725-9804
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Mailing Address
Dr. RONALD BRENT BURBANK D.O
PO BOX 555191
DEL MAR, CA 92014-2944
Phone number: 760-725-9804
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