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1457556474
STEPHANIE DIANE BURLESON
BIXBY, OK
NPI
1457556474
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Former Name
STEPHANIE DIANE PROCTOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4280)
Enumeration Date
2007-06-19
Last Update Date
2012-10-15
Business Address
Dr. STEPHANIE DIANE BURLESON D.O.
11911 S MEMORIAL DR
BIXBY, OK 74008-2030
Phone number: 918-497-3700
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Mailing Address
Dr. STEPHANIE DIANE BURLESON D.O.
6600 S YALE AVE SUITE 1400
TULSA, OK 74136-3347
Phone number: 918-488-6001
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