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Individual

DR. EFREN BURGOS VALENCIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
(606) 248-7920
(606) 248-7947
Mailing address
3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
(606) 248-7920
(606) 248-7947

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19269
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64192693
KY
Enumeration date
07/21/2006
Last updated
07/21/2022
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