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Individual

JABE B BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
108 LAFAYETTE STREET, LIVINGSTON, AL 35470
(205) 652-9595
(205) 652-5202
Mailing address
PO BOX 1246, LIVINGSTON, AL 35470-1246

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T37145
AL
183700000X
Pharmacy Technician
AL
183700000X
Pharmacy Technician

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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