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1003469297
ELY JAMES BURGESS
BARNSDALL, OK
NPI
1003469297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-17
Last Update Date
2019-08-15
Business Address
ELY JAMES BURGESS
401 W. MAIN ST.
BARNSDALL, OK 74002-6631
Phone number: 918-847-3527
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Mailing Address
ELY JAMES BURGESS
401 W. MAIN ST.
BARNSDALL, OK 74002-6631
Phone number: 918-847-3527
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