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Individual

MIKAYLA STORM ELDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
117 N GARFIELD AVE, SAND SPRINGS, OK 74063-7214
(918) 802-2066
Mailing address
5209 SKYLANE DR, SAND SPRINGS, OK 74063-3258

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1044
NH
111N00000X
Chiropractor
1059
NH
111N00000X
Chiropractor
Primary
4427
OK

Other

Enumeration date
08/27/2019
Last updated
09/05/2023
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