ANGELA GRACE LONG

ENID, OK
NPI1962824086
Former NameANGELA GRACE SASAKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4519)
Enumeration Date2014-01-08
Last Update Date2023-10-31
Business Address
Ms. ANGELA GRACE LONG PA-C
3201 N VAN BUREN ST STE 350
ENID, OK 73703-1814
Phone number: 580-366-0844
Mailing Address
Ms. ANGELA GRACE LONG PA-C
DEPT. 453 PO BOX 1000
MEMPHIS, TN 38148-0001
Phone number: 828-575-2625