ANGELINE MARIE WICKLIFFE

TAHLEQUAH, OK
NPI1427351519
Former NameANGELINE MARIE BAUMBACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  91177)
Enumeration Date2010-12-10
Last Update Date2011-01-05
Business Address
Mrs. ANGELINE MARIE WICKLIFFE ARNP
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
Mrs. ANGELINE MARIE WICKLIFFE ARNP
1001 S MAPLE AVE
TAHLEQUAH, OK 74464-5127
Phone number: 918-207-5688
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