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Individual

GABRIEL BURRESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 848-7555
Mailing address
630 N PARK AVE, SHAWNEE, OK 74801-6124
(405) 593-5038

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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