Individual
DR. JACOB J LEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11 W MACARTHUR ST, SHAWNEE, OK 74804-2025
(405) 273-5433
Mailing address
35496 US HIGHWAY 177, ASHER, OK 74826-6603
(405) 974-0600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3914
OK
Other
Enumeration date
02/23/2009
Last updated
01/28/2010
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