CRAIG REAVIS

FORT SILL, OK
NPI1134578636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L 0053550)
Enumeration Date2016-06-07
Last Update Date2016-06-07
Business Address
-- CRAIG REAVIS
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-558-2772
Mailing Address
-- CRAIG REAVIS
113 NE BABBIT ST
LAWTON, OK 73507-1423
Phone number:
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