Individual
DR. MYRANDA SHALANE GOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
529 S 3RD ST, MCALESTER, OK 74501-5819
(918) 423-4100
Mailing address
PO BOX 3094, MCALESTER, OK 74502-3094
(918) 916-0444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4075
OK
Other
Enumeration date
09/18/2012
Last updated
06/07/2024
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