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Individual

DR. CALVIN LEE NELSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
927 ARLINGTON ST, ADA, OK 74820-4034
(580) 447-1873
(580) 559-2348
Mailing address
902 ARLINGTON CTR PMB 333, ADA, OK 74820
(580) 447-1873
(580) 559-2348

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3428
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731539588001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
04/06/2007
Last updated
07/22/2024
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