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Individual

DR. JEFFREY BRIAN BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3852 LAMONT ST, SAN DIEGO, CA 92109-6510
(805) 636-1795
Mailing address
480 ALTA ROAD, SAN DIEGO, CA 92179
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14188
CA

Other

Enumeration date
10/16/2008
Last updated
06/14/2017
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