Organization
NEW LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE R NELSON DO (OWNER)
(405) 382-3635
Entity
Organization
Contact information
Practice address
304 N MAIN ST, SEMINOLE, OK 74868-3428
(405) 382-3635
(405) 382-1037
Mailing address
PO BOX 1301, SEMINOLE, OK 74818-1301
(405) 382-3635
(405) 382-1037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3429
OK
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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