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Craig Reavis
NPI 1134578636 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4301 Wilson St
Fort Sill, OK 73503 - Phone
- (580) 558-2772
- Organisation at this address
- Ahc Reynolds-Ft Sill
Ahc Reynolds-Ft SillInferred from a shared address, not stated in the registry. - Clinicians at this address
- 183
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma