Individual
RAMONA L BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 JAMESTOWN ST, TAHLEQUAH, OK 74464-6627
(918) 705-0007
Mailing address
203 JAMESTOWN ST, TAHLEQUAH, OK 74464-6627
(918) 705-0007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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