Individual
MRS. MALINDA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 DAVID ROEBUCK LANE, HUGO, OK 74743
(580) 326-8373
Mailing address
1604 N WASHINGTON, DURANT, OK 74701
(580) 920-0909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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