Individual
ANGELA BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 5TH ST, ALVA, OK 73717-2208
(580) 327-0565
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
COUNSELOR
OK
Enumeration date
09/27/2010
Last updated
09/27/2010
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