Individual
ANDREA JAVERSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1021 S 2ND ST, MCALESTER, OK 74501-6401
(918) 420-5552
Mailing address
PO BOX 1261, MCALESTER, OK 74502-1261
(918) 420-5552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3513
OK
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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