Individual
ANGELYN MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 36TH ST N STE 1, TULSA, OK 74106-1703
(918) 425-4200
(918) 560-1399
Mailing address
1 W 36TH ST N STE 1, TULSA, OK 74106-1703
(918) 425-4200
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/18/2023
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