KELLY JACKSON-REAVIS

LAWTON, OK
NPI1427559574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0061345)
Enumeration Date2018-02-23
Last Update Date2018-02-23
Business Address
KELLY JACKSON-REAVIS
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5000
Mailing Address
KELLY JACKSON-REAVIS
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5000
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