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Individual

MR. JEFFREY N BURNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
702 S PARK, DEER PARK, WA 99006
(509) 276-5005
(509) 276-7785
Mailing address
PO BOX 1521, DEER PARK, WA 99006-1521
(509) 276-5005
(509) 276-7785

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005957
WA

Other

Enumeration date
08/03/2006
Last updated
07/08/2007
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