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1003188962
LESTER KEATHLEY
GORE, OK
NPI
1003188962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 103738)
Enumeration Date
2012-02-07
Last Update Date
2020-08-18
Business Address
LESTER KEATHLEY RN
700 N MAIN ST
GORE, OK 74435-2013
Phone number: 918-571-2369
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Mailing Address
LESTER KEATHLEY RN
109 8TH STREET
GORE, OK 74435
Phone number: 918-571-2369
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