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1982839841
JADE A BURDICK
MUSKOGEE, OK
NPI
1982839841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
-- JADE A BURDICK CRC
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1302
Phone number: 918-628-2558
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Mailing Address
-- JADE A BURDICK CRC
23300 FERGUSON RD
HASKELL, OK 74436
Phone number:
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