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Individual

ANGELA M GATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
825 NE 10TH ST, OUPB4200, OKLAHOMA CITY, OK 73104-5417
(405) 271-7558
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
208
OK

Other

Enumeration date
03/15/2006
Last updated
07/03/2008
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