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1295042596
DIANE ELAINE GLASS-BURKS
BETHANY, OK
NPI
1295042596
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Former Name
DIANE ELAINE GLASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1267)
Enumeration Date
2010-09-08
Last Update Date
2011-08-23
Business Address
Mrs. DIANE ELAINE GLASS-BURKS LPC
7908 N.W. 23RD ST
BETHANY, OK 73008
Phone number: 405-440-1006
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Mailing Address
Mrs. DIANE ELAINE GLASS-BURKS LPC
7908 NW 23RD ST
BETHANY, OK 73008-4950
Phone number: 405-440-1006
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