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1770355471
STACEY LYNN BURROUGHS
SALLISAW, OK
NPI
1770355471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
STACEY LYNN BURROUGHS
1108 N WHEELER AVE
SALLISAW, OK 74955-2227
Phone number: 918-775-5513
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Mailing Address
STACEY LYNN BURROUGHS
1108 N WHEELER AVE
SALLISAW, OK 74955-2227
Phone number: 918-775-5513
Copy
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