JAKE WESLEY LANDRETH

OWASSO, OK
NPI1902106768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  4002)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
JAKE WESLEY LANDRETH DC
12707 E 86TH ST N
OWASSO, OK 74055-2506
Phone number: 918-272-7432
Mailing Address
JAKE WESLEY LANDRETH DC
12707 E 86TH ST N
OWASSO, OK 74055-2506
Phone number: 918-272-7432
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