Individual
ANGELA BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 920-0909
Mailing address
1604 N WASHINGTON AVE, DURANT, OK 74701-2128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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