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Individual

MUGI RIYANTI CHEFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1919 W GORE BLVD STE 3, LAWTON, OK 73501-3669
(580) 510-9099
Mailing address
1919 W GORE BLVD STE 3, LAWTON, OK 73501-3669
(580) 510-9099

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
208836
OK

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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