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Individual

MR. LOUIS M. OKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6703 SHANNON PKWY, SUITE # 13-14, UNION CITY, GA 30291-2073
(770) 964-3334
(770) 306-2680
Mailing address
6703 SHANNON PKWY, SUITE # 13-14, UNION CITY, GA 30291-2073
(770) 964-3334
(770) 306-2680

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002848
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58-2155004
TAX ID
GA
Enumeration date
08/21/2006
Last updated
08/25/2016
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