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Individual
ANTWAUN BURROUGHS
Active
Individual
ANTWAUN BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
775
AL
Other
Enumeration date
01/29/2018
Last updated
04/26/2018
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