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Individual

MR. PATRICK ALLEN BURKE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
65 SAINT MARKS RISE RD, CRAWFORDVILLE, FL 32327-6006
(850) 545-3417
Mailing address
65 SAINT MARKS RISE RD, CRAWFORDVILLE, FL 32327-6006
(850) 545-3417

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CRC058312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004407900
FL
Enumeration date
02/13/2014
Last updated
02/13/2014
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