Individual
ANGELA MARIE OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S MAIN, AFTON, OK 74331
(918) 533-4762
(918) 273-1843
Mailing address
502 SE 9TH ST, PRYOR, OK 74361-7024
(425) 343-4482
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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