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Individual
MR. EDDIE REGINALD BURSTON II
Active
Individual
MR. EDDIE REGINALD BURSTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7516084757
CA
253Z00000X
In Home Supportive Care Agency
B8163X
MI
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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