Wennie Mae Agbale

NPI #1538048491 in Moore, Oklahoma

Provider Information

NPI Number: 1538048491
Entity Type: Individual
Name: Wennie Mae Agbale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 27, 2025
Last Updated: Sep 9, 2025

Practice Location

Address: 1309 SW 25TH ST
City: Moore
State: Oklahoma
ZIP Code: 73170-7558
Phone: (952) 393-6271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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