Individual
MRS. SANDRA J BURNETT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
5586 BOOTH RD, OXFORD, OH 45056-9071
(513) 678-2683
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
28128390A
IN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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