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1083958839
MICHELE M BURRIS
YUKON, OK
NPI
1083958839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 1)
Enumeration Date
2012-11-17
Last Update Date
2012-11-17
Business Address
-- MICHELE M BURRIS LADC/MH
11500 CARRIAGE DR
YUKON, OK 73099-8103
Phone number: 405-623-7163
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Mailing Address
-- MICHELE M BURRIS LADC/MH
11500 CARRIAGE DR
YUKON, OK 73099-8103
Phone number: 405-623-7163
Copy
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