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1225561053
MAE MOON BURKHALTER
OKLAHOMA CITY, OK
NPI
1225561053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-08
Last Update Date
2017-04-08
Business Address
-- MAE MOON BURKHALTER A.S.S
409 NW 11TH ST APT 15
OKLAHOMA CITY, OK 73103-3915
Phone number: 918-631-6380
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Mailing Address
-- MAE MOON BURKHALTER A.S.S
409 NW 11TH ST APT 15
OKLAHOMA CITY, OK 73103-3915
Phone number: 918-361-6380
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