Individual
ANGEL MARIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WC, RSS
Contact information
Practice address
100 S MAIN ST, MCALESTER, OK 74501-5369
(918) 426-7800
Mailing address
100 S MAIN ST, MCALESTER, OK 74501-5369
(405) 669-5618
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
J083424867
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357388
HEALTHCHOICE
OK
Enumeration date
09/23/2022
Last updated
09/23/2022
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