Individual
MRS. ANGELIA N EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS DEGREE
Contact information
Practice address
3034 SE 150TH RD, WILBURTON, OK 74578-7528
(918) 465-4235
Mailing address
3034 SE 150TH RD, WILBURTON, OK 74578-7528
(918) 465-4235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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