UPI (Provider ID): 2891
Change Report (if Any):

Short Name: BURDMAN GP-MAHO

Long Name 1: BURDMAN GROUP INC
Long Name 2:

Address 1: 284 BROADWAY AVENUE
Address 2:

City: YOUNGSTOWN
Zip Code: 44504
County: MAHO

Contact: LARRY DUCK
Title:
Phone: 3307439275
FAX: 3307436110

Vendor: 2891

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012