Angela Diane Miller Mack

NPI #1205614161 in Boley, Oklahoma

Provider Information

NPI Number
1205614161
Entity Type
Individual
Name
Angela Diane Miller Mack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Sep 20, 2023
Last Updated
Sep 20, 2023

Practice Location

Address
2 MILES EAST OF BOLEY ON HWY 62
City
Boley
ZIP Code
74829
Phone
(918) 667-3367

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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