Individual
ANDREA DEE BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30600 MCCONNELL RD, WANETTE, OK 74878-5523
(580) 210-8109
Mailing address
30600 MCCONNELL RD, WANETTE, OK 74878-5523
(580) 210-8109
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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