GRAN MIRACLE CHIROPRACTIC INC PC

TULSA, OK
NPI1912191503
Entity TypeOrganization
Authorized ContactPACK L MIRACLE
President
918-748-9876
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  2476)
Enumeration Date2007-08-28
Last Update Date2007-11-28
Business Address
GRAN MIRACLE CHIROPRACTIC INC PC
3515 E 31ST ST SUITE C
TULSA, OK 74135-1520
Phone number: 918-748-9876
Mailing Address
GRAN MIRACLE CHIROPRACTIC INC PC
3515 E 31ST ST SUITE C
TULSA, OK 74135-1520
Phone number: 918-748-9876