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Individual

ANGELA ANNETTE COLBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NP-C

Contact information

Practice address
535 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3942
Mailing address
119 RANDOLPH CT, STILLWATER, OK 74075-3841
(970) 629-1364

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68417
OK

Other

Enumeration date
09/06/2019
Last updated
10/01/2020
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