COUNTRYSIDE WELLNESS LLC

TAHLEQUAH, OK
NPI1205142700
Entity TypeOrganization
Authorized ContactREBEKAH MOUSE
Owner
918-931-8733
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  3983)
Enumeration Date2010-08-23
Last Update Date2014-02-10
Business Address
COUNTRYSIDE WELLNESS LLC
1607 S MUSKOGEE AVE SUITE C
TAHLEQUAH, OK 74464-5440
Phone number: 918-708-2563
Mailing Address
COUNTRYSIDE WELLNESS LLC
18612 E 710 RD
TAHLEQUAH, OK 74464-6289
Phone number:
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