Individual
ANGELA CHERYL BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 BUNNY TRL, KILLEEN, TX 76549-6930
(254) 553-8110
(254) 553-8111
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-8198
(254) 553-8111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0046255
OK
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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