Individual
DAQUANA A BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 819-7094
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 819-7094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
11/17/2016
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