PHILLIP ANTHONY REZA

LAWTON, OK
NPI1588033369
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0021375)
Enumeration Date2015-09-22
Last Update Date2015-09-22
Business Address
MR. PHILLIP ANTHONY REZA PRACTICAL NURSE
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270
Mailing Address
MR. PHILLIP ANTHONY REZA PRACTICAL NURSE
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270
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