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Individual

MATHEW VAUGHN BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S. SOCIOLOGY

Contact information

Practice address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
409 E D ST, JENKS, OK 74037-3322
(918) 770-6918

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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