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Individual
MARY S BURR
Active
Individual
MARY S BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
R084105
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R084105
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401944000
—
MD
Enumeration date
06/12/2006
Last updated
11/23/2015
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