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1720304645
KENNETH BURROUGH
OKLAHOMA CITY, OK
NPI
1720304645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-16
Last Update Date
2010-04-16
Business Address
-- KENNETH BURROUGH
4030 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5207
Phone number: 405-528-4673
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Mailing Address
-- KENNETH BURROUGH
1525 N MIDWEST BLVD APT 7
MIDWEST CITY, OK 73110-3299
Phone number: 405-210-9078
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