JEREMY WAYNE BURGIN

CLOVIS, NM
NPI1891925871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD3167)
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
-- JEREMY WAYNE BURGIN D.D.S.
1800 SHEFFIELD DR STE D
CLOVIS, NM 88101-4946
Phone number: 575-714-5055
Mailing Address
-- JEREMY WAYNE BURGIN D.D.S.
1800 SHEFFIELD DR STE D
CLOVIS, NM 88101-4946
Phone number: 575-714-5055
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