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Individual

DR. JONATHAN RAY VESTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1809 COMMONS CIR STE A, YUKON, OK 73099-9528
(405) 577-6268
(405) 577-6371
Mailing address
1809 COMMONS CIR, STE A, YUKON, OK 73099-9528
(405) 577-6268
(405) 451-2152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4136
OK
111N00000X
Chiropractor
CHIR009298
GA

Other

Enumeration date
08/19/2013
Last updated
11/05/2020
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