BURKE DELANGE

SHOW LOW, AZ
NPI1801866876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: AZ  005292)
Additional Taxonomies2086S0129X 
(Licence: TX  J2871)
Enumeration Date2006-01-24
Last Update Date2009-08-17
Business Address
Dr. BURKE DELANGE D.O.
5171 CUB LAKE RD SUITE C 350
SHOW LOW, AZ 85901-7888
Phone number: 928-537-8285
Mailing Address
Dr. BURKE DELANGE D.O.
PO BOX 2558
SHOW LOW, AZ 85902-2558
Phone number: 928-537-8285
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