DARRELL DEAN BURNS

PONCA CITY, OK
NPI1396801478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  1096)
Enumeration Date2006-12-31
Last Update Date2007-07-08
Business Address
-- DARRELL DEAN BURNS MS
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-763-4092
Mailing Address
-- DARRELL DEAN BURNS MS
522 N 14TH ST # 114
PONCA CITY, OK 74601-4654
Phone number: 580-763-4092
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