JADE A BURDICK

MUSKOGEE, OK
NPI1982839841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-05-21
Last Update Date2009-05-21
Business Address
-- JADE A BURDICK CRC
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1302
Phone number: 918-628-2558
Mailing Address
-- JADE A BURDICK CRC
23300 FERGUSON RD
HASKELL, OK 74436
Phone number: