NICOLE BURNHAM

PRYOR, OK
NPI1013548536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  64549)
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
NICOLE BURNHAM LPN
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
Mailing Address
NICOLE BURNHAM LPN
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number:
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