SAMANTHA RONAE BUMGUARDNER

SALLISAW, OK
NPI1013738244
Former NameSAMANTHA RONAE ANSANI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
SAMANTHA RONAE BUMGUARDNER Youth Service
205 J T STITES BLVD
SALLISAW, OK 74955-9323
Phone number: 918-775-7787
Mailing Address
SAMANTHA RONAE BUMGUARDNER Youth Service
205 S J T STITES ST
SALLISAW, OK 74955-9301
Phone number: 918-775-7787
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