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1790102366
BREANNA R. BURKS
SPRINGFIELD, MO
NPI
1790102366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2014008687)
Enumeration Date
2014-03-21
Last Update Date
2014-12-30
Business Address
-- BREANNA R. BURKS PA-C
2115 S FREMONT AVE STE 4300
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-3911
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Mailing Address
-- BREANNA R. BURKS PA-C
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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