Individual
HOPE BURNETT PRESTMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S ELM PL STE 101, BROKEN ARROW, OK 74012-7908
(918) 268-7327
Mailing address
17309 HIGHWAY 102, SHAWNEE, OK 74801-5672
(405) 777-6102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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