Organization
LEBA CHIROPRACTIC P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB J LEBA D.C. (OWNER)
(405) 273-5433
Entity
Organization
Contact information
Practice address
11 W MACARTHUR ST, SHAWNEE, OK 74804-2025
(405) 273-5433
Mailing address
11 W MACARTHUR ST, SHAWNEE, OK 74804-2025
(405) 273-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3914
OK
Other
Enumeration date
10/05/2009
Last updated
02/11/2010
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