Individual
DR. REBECCA MARCELLE BRISTOW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
122 SOUTHWEST BLVD, BLACKWELL, OK 74631-4327
(580) 363-4226
(580) 363-3996
Mailing address
122 SOUTHWEST BLVD, BLACKWELL, OK 74631-4327
(580) 363-4226
(580) 363-3996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2563
OK
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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