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1619221207
DERRICK CHARLES BURCH
TULSA, OK
NPI
1619221207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-11-03
Last Update Date
2012-11-03
Business Address
-- DERRICK CHARLES BURCH bhrs
4112 S 130TH EAST AVE APT 714B
TULSA, OK 74134-1110
Phone number: 918-938-8712
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Mailing Address
-- DERRICK CHARLES BURCH bhrs
4112 S 130TH EAST AVE APT 714B
TULSA, OK 74134-1110
Phone number: 918-938-8712
Copy
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