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1861174047
DAVID MICHAEL BURKHALTER
RUSTON, LA
NPI
1861174047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: LA 11468)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
DAVID MICHAEL BURKHALTER
304 E REYNOLDS DR
RUSTON, LA 71270-2817
Phone number: 318-224-9148
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Mailing Address
DAVID MICHAEL BURKHALTER
304 E REYNOLDS DR
RUSTON, LA 71270-2817
Phone number: 318-680-3725
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