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1548220650
TERRY JUSTIN REAVIS
BIXBY, OK
NPI
1548220650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 4843)
Enumeration Date
2006-03-23
Last Update Date
2008-06-23
Business Address
Dr. TERRY JUSTIN REAVIS DDS
13302 S MEMORIAL DR
BIXBY, OK 74008-3114
Phone number: 918-369-3990
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Mailing Address
Dr. TERRY JUSTIN REAVIS DDS
13302 S MEMORIAL DR
BIXBY, OK 74008-3114
Phone number: 918-369-3990
Copy
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