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Organization
N/A
Active
Organization
N/A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE R. BURSON D.O. (OWNER)
(626) 447-0296
Entity
Organization
Contact information
Practice address
420 34TH ST, BAKERSFIELD, CA 93301-2237
(661) 327-4647
Mailing address
PO BOX 661972, ARCADIA, CA 91066-1972
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/29/2014
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