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1144374612
CARLA SUE BOURNE
HUGO, OK
NPI
1144374612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 0072)
Enumeration Date
2007-01-22
Last Update Date
2016-04-07
Business Address
Mrs. CARLA SUE BOURNE M.S., L.B.P.
3103 E JACKSON ST
HUGO, OK 74743-4051
Phone number: 580-326-5279
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Mailing Address
Mrs. CARLA SUE BOURNE M.S., L.B.P.
173 W RUTH AVE
ATOKA, OK 74525-4001
Phone number:
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