Organization
ABUNDANT LIFE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORVILLE LEE RAU D.C. (DOCTOR)
(405) 350-0916
Entity
Organization
Contact information
Practice address
324 ELM AVE, YUKON, OK 73099-2627
(405) 350-0916
(405) 350-0921
Mailing address
324 ELM AVE, YUKON, OK 73099-2627
(405) 350-0916
(405) 350-0921
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2426
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640832704
DCN
OK
Enumeration date
02/10/2015
Last updated
02/10/2015
Update your record
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