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EVERETT STEVEN BURNETT

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1447885454

Individual Registrant:
 EVERETT STEVEN BURNETT 
Gender: M
Sole Proprietor

Location and contact information for practice:
2248 OBISPO AVE  SIGNAL HILL, CA 90755-4026 US
Tel: 213-550-2634  Fax: --

Contact information for business:
2248 OBISPO AVE  SIGNAL HILL, CA 90755-4026 US
Tel: 213-550-2634  Fax: --

Registration Information:
NPI: 1447885454
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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