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Individual

MS. NANCY CLAIRE BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
14601 LEE RD, CHANTILLY, VA 20151-1703
(703) 449-7241
(703) 449-7373
Mailing address
11118 HARBOR CT, RESTON, VA 20191-4315
(703) 629-2038

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000154
VA

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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