Organization
PROACTIVE ENTERPRISES LLC
Active
Other names
ProActive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE M GRANT D.C. (SOLE MEMBER)
(580) 222-6777
Entity
Organization
Contact information
Practice address
615 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-3942
(580) 222-6777
Mailing address
615 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-3942
(580) 222-6777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3975
OK
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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