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1881026060
AMANDA BOURNE
POTEAU, OK
NPI
1881026060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- AMANDA BOURNE BS
900 N BROADWAY ST STE 1
POTEAU, OK 74953-2617
Phone number: 918-649-0772
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Mailing Address
-- AMANDA BOURNE BS
15681 AVIS CIR
SPIRO, OK 74959-4005
Phone number: 479-981-0007
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