Individual
REGINA LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S. MAIN, AFTON, OK 74331-1822
(918) 207-0078
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 257-4244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
04/30/2013
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