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1679080394
ACTIVE CARE EDMOND PLLC
EDMOND, OK
NPI
1679080394
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Entity Type
Organization
Authorized Contact
JASON L BLOCK
Chiropractor
405-315-4119
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
ACTIVE CARE EDMOND PLLC
3201 E MEMORIAL RD STE B
EDMOND, OK 73013-7093
Phone number: 405-478-1507
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Mailing Address
ACTIVE CARE EDMOND PLLC
3201 E MEMORIAL RD STE B
EDMOND, OK 73013-7093
Phone number: 405-478-1507
Copy
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