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1265588024
BURLEENE MOSBURG
COWETA, OK
NPI
1265588024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK PA546)
Enumeration Date
2007-01-26
Last Update Date
2010-01-12
Business Address
-- BURLEENE MOSBURG P.A.-C
28622 E 141ST ST S
COWETA, OK 74429-7515
Phone number: 918-486-7425
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Mailing Address
-- BURLEENE MOSBURG P.A.-C
28622 E 141ST ST S PO BOX 1030
COWETA, OK 74429-7515
Phone number: 918-486-7425
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