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Individual

GAYLA BURGESS ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
822 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4720
(918) 931-8825
Mailing address
PO BOX 2077, TAHLEQUAH, OK 74465-2077
(918) 931-8825

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/16/2012
Last updated
01/16/2012
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