Individual
MRS. JOLIE KAYE MASCOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
519 E CHOCTAW ST, MCALESTER, OK 74501
(918) 759-3226
Mailing address
519 E CHOCTAW ST, MCALESTER, OK 74501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3852
OK
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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