Individual
CANDY K BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NW 23RD ST STE 108, OKLAHOMA CITY, OK 73103-1464
(405) 601-9610
(405) 601-9626
Mailing address
600 NW 23RD ST STE 108, OKLAHOMA CITY, OK 73103-1464
(405) 601-9610
(405) 601-9626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
99999
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301590A
—
OK
Enumeration date
10/31/2011
Last updated
10/31/2011
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