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1821453887
BRIAN BURDICK
PORTSMOUTH, VA
NPI
1821453887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95000946)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- BRIAN BURDICK
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3422
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Mailing Address
-- BRIAN BURDICK
2107 BRENNHAVEN TRL
CHESAPEAKE, VA 23323-6413
Phone number: 850-525-8183
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