Proactive Enterprises LLC

NPI #1508187501 in Ardmore, Oklahoma

Provider Information

NPI Number
1508187501
Entity Type
Organization
Organization Name
Proactive Enterprises LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jun 14, 2010
Last Updated
Jun 14, 2010

Practice Location

Address
615 N COMMERCE ST
Address 2
SUITE E
ZIP Code
73401-3942
Phone
(580) 222-6777

Authorized Official

Name
DR. LEE M GRANT, D.C.
Title
SOLE MEMBER
Phone
(580) 222-6777

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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