Individual
JESSICA LYNNE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1253
Mailing address
12701 N PENN AVE, APT. 360, OKLAHOMA CITY, OK 73120-9451
(770) 337-1828
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2013
Last updated
03/16/2013
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