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Individual

JENNIFER MICHELE BURKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9037 INDEPENDENCE AVE STE A2, DAPHNE, AL 36526-7694
(251) 459-0500
Mailing address
PO BOX 152, IRVINGTON, AL 36544-0152
(662) 200-6182

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5862
AL

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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