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1205142700
COUNTRYSIDE WELLNESS LLC
TAHLEQUAH, OK
NPI
1205142700
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Entity Type
Organization
Authorized Contact
KELLY J CALLAWAY
Owner/Chiropractor
918-708-2563
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2010-08-23
Last Update Date
2024-09-05
Business Address
COUNTRYSIDE WELLNESS LLC
2067 MAHANEY AVE
TAHLEQUAH, OK 74464-5731
Phone number: 918-708-2563
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Mailing Address
COUNTRYSIDE WELLNESS LLC
2067 MAHANEY AVE
TAHLEQUAH, OK 74464-5731
Phone number:
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