Individual
BURLEENE MOSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
28622 E 141ST ST S, COWETA, OK 74429-7515
(918) 486-7425
(918) 279-6884
Mailing address
28622 E 141ST ST S, PO BOX 1030, COWETA, OK 74429-7515
(918) 486-7425
(918) 279-6884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA546
OK
Other
Enumeration date
01/26/2007
Last updated
01/12/2010
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