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Individual

MR. WARREN THOMAS BURCHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1 HOFFMAN ST, AUBURN, NY 13021-2157
(315) 704-0319
Mailing address
2378 KENYON RD, VENICE CENTER, NY 13147-4127
(315) 406-0359

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025019-1
NY

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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