Individual
ANGELA TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15112 KYLE DR, UNIT A, OKLAHOMA CITY, OK 73170-6544
(405) 201-7053
Mailing address
15112 KYLE DR, UNIT A, OKLAHOMA CITY, OK 73170-6544
(405) 201-7053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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