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NPI Profile for SANDRA L BORNE TUSTIN in STIGLER, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1306086459 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 03/03/2009 | |
| Last updated | 03/03/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SANDRA L BORNE TUSTIN
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SANDRA L BORNE TUSTIN, LPC