Individual
CONNIE L BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3112 NW EXPRESSWAY APT 115, OKLAHOMA CITY, OK 73112-4016
(405) 397-1319
Mailing address
3112 NW EXPRESSWAY APT 115, OKLAHOMA CITY, OK 73112-4016
(405) 397-1319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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