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Individual

JESSICA BURHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1036 DUNN AVE STE 10, JACKSONVILLE, FL 32218-6364
(904) 903-5520
(904) 903-5525
Mailing address
1036 DUNN AVE STE 10, JACKSONVILLE, FL 32218-6364
(904) 903-5520

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OS-17918
FL
208D00000X
General Practice Physician
OS-17918
FL

Other

Enumeration date
10/23/2006
Last updated
03/25/2022
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