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Individual

MR. GREG EUGENE BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE

Contact information

Practice address
43423 DIVISION ST, LANCASTER, CA 93535-4639
(661) 726-2850
(661) 726-2854
Mailing address
3841 W AVENUE K14, LANCASTER, CA 93536-4903
(661) 943-2997
(661) 943-2997

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
171783
CA

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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