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Individual
RYAN MICHAEL BURKE
Active
Individual
RYAN MICHAEL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703109279
STATE OF MICHIGAN DEPARTMENT OF LICENSING REGULATORY AFFAIRS BOARD OF NURSING
MI
Enumeration date
12/18/2013
Last updated
12/18/2013
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