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Individual

DR. RANDY LEE TERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2716 W GORE BLVD, SUITE C, LAWTON, OK 73505-6305
(580) 357-3280
(904) 446-3013
Mailing address
PO BOX 848371, BOSTON, MA 02284-8371
(904) 446-3451
(904) 446-3013

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5324
OK
207Q00000X
Family Medicine Physician
H2829
TX

Other

Enumeration date
01/30/2007
Last updated
04/06/2015
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