Individual
SANDRA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3641 MADISON GRACE WAY, FRANKLIN, OH 45005-9451
(937) 732-2456
Mailing address
3641 MADISON GRACE WAY, FRANKLIN, OH 45005-9451
(937) 732-2456
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400019310901
OH
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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