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1871939231
CHARLIE JOE BURSE
LEBANON, TN
NPI
1871939231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 8037)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
Dr. CHARLIE JOE BURSE Dph
1485 WOODSIDE DR
LEBANON, TN 37087
Phone number: 901-409-4167
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Mailing Address
Dr. CHARLIE JOE BURSE Dph
1485 WOODSIDE DR
LEBANON, TN 37087-8701
Phone number: 901-409-4167
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