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1881207405
ALEC JONATHAN BURCKLE
SAN JOSE, CA
NPI
1881207405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Mr. ALEC JONATHAN BURCKLE
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
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Mailing Address
Mr. ALEC JONATHAN BURCKLE
5300 TERNER WAY APT 1121
SAN JOSE, CA 95136-4130
Phone number: 661-874-7777
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