Individual
COLE EDWARD BURFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
318 W BIRCH AVE STE 5, FLAGSTAFF, AZ 86001-4407
(541) 550-9597
Mailing address
318 W BIRCH AVE STE 5, FLAGSTAFF, AZ 86001-4407
(541) 550-9597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27869
AZ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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