Individual
GUYLA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 HAZELWOOD ST, MOORE, OK 73160-8306
(800) 532-0536
Mailing address
708 HAZELWOOD ST, MOORE, OK 73160-8306
(800) 532-0536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12768
OK
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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