Angela Denise Pack CM

NPI 1417104027 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1417104027
Gender Female
Enumeration Date 08/26/2008
Last Updated 08/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1515 W CHICKASAW AVE
SALLISAW OK, 74955-7201, US
Phone (918) 775-2657
Fax (918) 775-0439
Business Location
1515 W CHICKASAW AVE
SALLISAW OK, 74955-7201, US
Phone (918) 775-2657
Fax (918) 775-0439
Toxanomy
Taxonomy Code 171M00000X
License State Oklahoma
License Number 20916
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According to our database, Mrs. Angela Denise Pack CM NPI is 1417104027, taxonomy code is 171M00000X and license number is 20916, license state is located at Oklahoma. Angela Denise Pack CM physically located at 1515 W Chickasaw Ave, Sallisaw OK, 74955-7201. NPI Number Angela Denise Pack CM has the Individual type.

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1417104027 NPI number is provided on an as is basis without warranty of any kind. 1417104027 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Denise Pack CM are for informational purposes only.