Individual
MS. ANNA MICHELE PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E JEFFERSON ST, HUGO, OK 74743-4410
(580) 326-8689
Mailing address
510 E JEFFERSON ST, HUGO, OK 74743-4410
(580) 326-8689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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