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Individual

MS. ANGELA CARIN CLOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 323-2448
Mailing address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 323-2448

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0054022
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L0054022
LPN
OK
Enumeration date
12/29/2010
Last updated
12/29/2010
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