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Individual

REBEKAH MOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
5 PLAZA SOUTH ST, TAHLEQUAH, OK 74464-4750
(918) 708-2563
(918) 456-3000
Mailing address
18630 E 710 RD, TAHLEQUAH, OK 74464-6289
(918) 931-8733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3983
OK

Other

Enumeration date
07/19/2010
Last updated
05/27/2023
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