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Individual

MRS. ANGELA DAWN KOUPLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
(918) 633-0203
Mailing address
7701 GARFIELD ROAD, BEGGS, OK 74421-2445
(918) 304-9072

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/21/2010
Last updated
06/23/2011
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