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Individual

ABBY MICHELLE MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 NE 10TH ST # 4300, OKLAHOMA CITY, OK 73104-5418
(405) 271-4088
(405) 271-4099
Mailing address
1122 NE 13TH ST # 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-4088
(405) 271-4099

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1796
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1796
LICENSE
OK
Enumeration date
03/02/2009
Last updated
07/15/2021
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