Individual
VANCE ALLEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1122 WALNUT DR, ARDMORE, OK 73401-2353
(580) 223-8200
(580) 223-8212
Mailing address
1122 WALNUT DR, ARDMORE, OK 73401-2353
(580) 223-8200
(580) 223-8212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3340
OK
Other
Enumeration date
06/16/2006
Last updated
04/11/2017
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