Individual
REGINALD G FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., M.H.R
Contact information
Practice address
2816 NE HERITAGE DR, LAWTON, OK 73507-3303
(580) 647-4317
Mailing address
2816 NE HERITAGE DR, LAWTON, OK 73507-3303
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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