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1891009312
CHASITEE QWINETTE BURDINE
PRAGUE, OK
NPI
1891009312
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Former Name
CHASITEE QWINETTE COOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2010-07-27
Last Update Date
2018-08-30
Business Address
CHASITEE QWINETTE BURDINE
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Phone number: 405-567-0054
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Mailing Address
CHASITEE QWINETTE BURDINE
1201 N UNION AVE
SHAWNEE, OK 74801-5022
Phone number: 405-650-7738
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