| NPI | 1457711582 |
|---|---|
| Former Legal Business Name | CARLENE A BOLEN DC |
| Entity Type | Organization |
| Authorized Contact | CARRIE A BURKS Billing Manager 918-251-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3532) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |