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Individual

ANJELICA NEWCOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGAC-APRN

Contact information

Practice address
24 S TRAIL RIDGE RD, EDMOND, OK 73012-4538
(405) 863-1382
Mailing address
24 S TRAIL RIDGE RD, EDMOND, OK 73012-4538

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
228540
OK

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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