Individual
ANGELA DENA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W HARDY ST, ALTUS, OK 73521-3619
(580) 318-7852
Mailing address
217 W HARDY ST, ALTUS, OK 73521-3619
(580) 318-7852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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