Organization
TLC OF CHIROPRACTIC L.L.C.
Active
Other names
The Locklear Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN M. LOCKLEAR D.C. (OWNER/OPERATOR)
(580) 782-3141
Entity
Organization
Contact information
Practice address
314 W LINCOLN ST, MANGUM, OK 73554-4604
(580) 782-3141
Mailing address
314 W LINCOLN ST, MANGUM, OK 73554-4604
(580) 782-3141
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3658
OK
Other
Enumeration date
10/16/2007
Last updated
04/15/2008
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