Individual
JAMES BURLESON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
24 S SPENCER AVE, INDIANAPOLIS, IN 46219-6320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27036267A
IN
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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