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JAMES BURRELL

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1164996484

Individual Registrant:
 JAMES  BURRELL 
Gender: M
Sole Proprietor

Location and contact information for practice:
854 S SUNSET AVE  SOMERTON, AZ 85350-5005 US
Tel: 602-367-5345  Fax: 623-321-8145

Contact information for business:
4409 N 179TH DR  GOODYEAR, AZ 85395-5201 US
Tel: 623-229-4755  Fax: 623-321-8145

Registration Information:
NPI: 1164996484
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
AZBH5622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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