Individual
MR. TERENCE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 TAMARISK DR, FAIRLAWN, OH 44333-9221
(520) 450-1592
Mailing address
3700 TAMARISK DR, FAIRLAWN, OH 44333-9221
(520) 450-1592
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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