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1912001959
TIMOTHY BRETT BURNETT
PHOENIX, AZ
NPI
1912001959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NH 049951-21)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY BRETT BURNETT crna
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
Mr. TIMOTHY BRETT BURNETT crna
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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