Individual
MRS. JEAN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1122 11TH AVE, GREELEY, CO 80631-3826
(970) 353-0816
Mailing address
1122 11TH AVE, GREELEY, CO 80631-3826
(970) 353-0816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15430
CO
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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