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Individual

JAMES ROBERT BURNHAM IX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.PH.

Contact information

Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6550
Mailing address
4830 W 11TH CT, STILLWATER, OK 74074-1507
(405) 377-4031

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8224
OK

Other

Enumeration date
09/16/2005
Last updated
07/08/2007
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