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Individual

ANGEL CARL ALBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
323 NW 26TH ST, OKLAHOMA CITY, OK 73103-3005
(405) 821-9098
Mailing address
323 NW 26TH ST, OKLAHOMA CITY, OK 73103-3005
(405) 821-9098

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/30/2012
Last updated
09/30/2012
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