Individual
RYAN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
PO BOX 715, MCALESTER, OK 74502-0715
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA72
OK
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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