NPI 1538048491

Wennie Mae Agbale

Practitioner Driver Moore, OK

Practice location

Address: 1309 SW 25th St, Moore, OK 73170-7558
Phone: (952) 393-6271

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1538048491
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2025
Record last updated: 9 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.