Individual
ANGIE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5539 E 48TH PL, TULSA, OK 74135-6902
(918) 373-0783
Mailing address
5539 E 48TH PL, TULSA, OK 74135-6902
(918) 373-0783
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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