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1255300315
BEVERLY W FUNDERBURK
OKLAHOMA CITY, OK
NPI
1255300315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OK 729)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- BEVERLY W FUNDERBURK PhD
940 NE 13TH ST 3B3406
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-8858
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Mailing Address
-- BEVERLY W FUNDERBURK PhD
1122 NE 13TH ST ORI236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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