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1992313951
BURKE LEE ELLZEY
HATTIESBURG, MS
NPI
1992313951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 4136-20)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
Dr. BURKE LEE ELLZEY DMD
949 BROADWAY DR
HATTIESBURG, MS 39401-7534
Phone number: 601-271-7300
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Mailing Address
Dr. BURKE LEE ELLZEY DMD
79 QUAIL HOLLOW DRIVE
HATTIESBURG, MS 39402-8972
Phone number: 601-606-4241
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