Individual
TABITHA LYNN OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
617 N JEFFERSON AVE, LEBANON, MO 65536-2745
(417) 532-2986
(417) 532-2271
Mailing address
103 ICHORD AVE, STE B, WAYNESVILLE, MO 65583-5402
(417) 532-2986
(417) 532-2271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012001172
MO
Other
Enumeration date
01/23/2012
Last updated
10/11/2016
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