Organization
AWAKEN HEALTH AND WELLNESS CENTER
Active
Other names
Awaken Chiropractic and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED LANE (OWNER)
(903) 724-5505
Entity
Organization
Contact information
Practice address
3409 S BROADWAY STE 801, EDMOND, OK 73013-4129
(405) 515-9355
Mailing address
157 STONEBRIDGE BLVD APT 2232, EDMOND, OK 73013-4775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NN1001X
Nutrition Chiropractor
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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