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Individual

ANGELA JEAN OWINGS MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 N HIGH ST, ANTLERS, OK 74523-2238
(580) 271-7055
Mailing address
301 N HIGH ST, ANTLERS, OK 74523-2238
(580) 271-7055

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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