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Individual

MR. NGWESSE AJANG ELVIS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPR,CG,AD

Contact information

Practice address
16417 ERNEST CT, EDMOND, OK 73013-3283
(405) 510-4341
Mailing address
16417 ERNEST CT, EDMOND, OK 73013-3283
(405) 510-4341

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/29/2025
Last updated
11/09/2025
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