Individual
ANGELA M POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N STATE ST, SUITE 4, WEATHERFORD, OK 73096-5105
(580) 772-5433
Mailing address
24338 E 1080 RD, WEATHERFORD, OK 73096-9751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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