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Individual

MICHAEL ALLEN BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2624 RESEARCH PARK DR, SPINDLETOP ADMINISTRATION BUILDING SUITE 302, LEXINGTON, KY 40511-8504
(859) 246-2820
(859) 246-2823
Mailing address
908 GOLDEN BELL PL, LEXINGTON, KY 40515-1402
(859) 246-2820
(859) 246-2823

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7300
KY

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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