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Individual

MR. DUANE WILBUR BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
675 MONACO DR, EDWARDSVILLE, IL 62025-5331
(618) 444-3793
Mailing address
675 MONACO DR, EDWARDSVILLE, IL 62025-5331
(618) 444-3793

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-032594
IL
183500000X
Pharmacist
Primary
2011007380
MO

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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