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1144868175
TAMMY DIAN BURKE
PONCA CITY, OK
NPI
1144868175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 0096631)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
TAMMY DIAN BURKE
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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Mailing Address
TAMMY DIAN BURKE
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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