Individual
GEORGE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
3824 NW ARLINGTON AVE, LAWTON, OK 73505-4904
(580) 536-4844
(580) 536-4890
Mailing address
3824 NW ARLINGTON AVE, LAWTON, OK 73505-4904
(580) 536-4844
(580) 536-4890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
408407-00
OK
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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