Individual
GAYLA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77173
OK
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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