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Individual

ANDREW LEE BURLESON

Active
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Individual

ANDREW LEE BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARRT(R)(CT)

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
3281
WV
2471C3402X
Radiography Radiologic Technologist
3281
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3281
STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY
WV
Enumeration date
08/28/2008
Last updated
08/28/2008
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