Individual
ANGELEE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11614 VAIL DR, OKLAHOMA CITY, OK 73162-1644
(405) 464-4994
Mailing address
11614 VAIL DR, OKLAHOMA CITY, OK 73162-1644
(405) 464-4994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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