Individual
MS. ANGEL ONDRIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E FIR ST, PERRY, OK 73077-4900
(580) 336-5200
Mailing address
22700 COUNTY ROAD 140, PERRY, OK 73077-9405
(580) 307-4818
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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