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Samantha Lynn Burke

Case Manager/Care Coordinator in Idabel, OK. Individual provider (NPI-1).

NPI number1922583863
StatusActive
Last updated in NPPESSep 26, 2018

Details

NPI
1922583863
Entity type
Individual (NPI-1)
Name
Samantha Lynn Burke
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2018
Last updated
Sep 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

411 S Central Ave
Idabel, OK 74745-6059

Phone 580-286-5045

Mailing address

588 J Joiner Rd
Eagletown, OK 74734-5207

Phone 580-236-9625

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