Individual
ANGELA MARIA BLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
932 W STATE HIGHWAY 152, MUSTANG, OK 73064-2301
(405) 577-5477
Mailing address
932 W STATE HIGHWAY 152, MUSTANG, OK 73064-2301
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R0134588
OK
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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