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CHANDLER, OK
NPI1871515981
Entity TypeOrganization
Authorized ContactROGER ALLEN DIVIS
President/Owner
405-258-0014
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  3592)
Enumeration Date2006-07-25
Last Update Date2007-09-19
Business Address
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1206 MANVEL AVE STE B
CHANDLER, OK 74834-4401
Phone number: 405-258-0014
Mailing Address
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PO BOX 128
CHANDLER, OK 74834-0128
Phone number: 405-258-0014
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ROGER ALLEN DIVIS