Individual
DR. JACOB DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7891 E 108TH ST, SUITE 16, TULSA, OK 74133-7405
(918) 984-1564
Mailing address
7891 E 108TH ST, SUITE 16, TULSA, OK 74133-7405
(918) 984-1564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4246
OK
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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