Individual
WINTER ANGELINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 E COPLIN ST, OKEMAH, OK 74859-4642
(918) 623-1424
Mailing address
6600 SE 74TH ST APT 5101, OKLAHOMA CITY, OK 73135-1131
(405) 618-0360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
02/26/2024
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