Individual
BENJAMIN MOSES LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
314 W LINCOLN ST, MANGUM, OK 73554-4604
(580) 782-3141
Mailing address
314 W LINCOLN ST, MANGUM, OK 73554-4604
(580) 782-3141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3658
OK
Other
Enumeration date
04/18/2007
Last updated
04/15/2008
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