Individual
ANGELA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E BROADWAY CT STE E, SAND SPRINGS, OK 74063-7931
(918) 245-5565
Mailing address
810 N GARFIELD AVE, SAND SPRINGS, OK 74063-7315
(405) 600-5269
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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