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1790191724
ANGEL ELLIS
OKMULGEE, OK
NPI
1790191724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
-- ANGEL ELLIS FSP
1803 S WOOD DR
OKMULGEE, OK 74447-6825
Phone number: 918-756-9250
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Mailing Address
-- ANGEL ELLIS FSP
1803 S WOOD DR
OKMULGEE, OK 74447-6825
Phone number: 918-756-9250
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