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1932400330
JASON MICHAEL BURDGE
SAPULPA, OK
NPI
1932400330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 101YP2500X)
Enumeration Date
2010-11-16
Last Update Date
2010-11-16
Business Address
Mr. JASON MICHAEL BURDGE CCDC, CBHCM, BHRS
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-640-0290
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Mailing Address
Mr. JASON MICHAEL BURDGE CCDC, CBHCM, BHRS
1006 N LINCOLN AVE
SAND SPRINGS, OK 74063-7823
Phone number: 918-490-2270
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