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Individual

DR. MARK A PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
504 N 1ST ST, PONCA CITY, OK 74601-4145
(580) 718-0800
(580) 718-0803
Mailing address
504 N 1ST ST, PONCA CITY, OK 74601-4145
(580) 718-0800
(580) 718-0803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2313
OK

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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