Individual
TERA MARCHELLE EGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9100 N GARNETT RD, SUITE I., OWASSO, OK 74055-4452
(918) 274-2911
(918) 274-2911
Mailing address
9100 N GARNETT RD, SUITE I., OWASSO, OK 74055-4452
(918) 274-2911
(918) 274-2911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3469
OK
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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