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1124027263
MICHELLE L BOURNE
NORMAN, OK
NPI
1124027263
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Former Name
MICHELLE L TRUMBLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1164)
Enumeration Date
2005-07-20
Last Update Date
2014-02-12
Business Address
-- MICHELLE L BOURNE PA-C
2080 HWY 9 WEST
NORMAN, OK 73072
Phone number: 405-322-6800
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Mailing Address
-- MICHELLE L BOURNE PA-C
4008 WOOD CASTLE ST
NORMAN, OK 73072-1795
Phone number: 405-919-8490
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