Individual
MRS. BRENDA BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 COTTONWOOD RD, MCALESTER, OK 74501-7701
(918) 423-4377
Mailing address
10 COTTONWOOD RD, MCALESTER, OK 74501-7701
(918) 423-4377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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