KEITH MICHAEL WEAR

ALVA, OK
NPI1043614878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: OK  904)
Enumeration Date2014-10-22
Last Update Date2023-06-28
Business Address
KEITH MICHAEL WEAR M.S., A.T.C., L.A.T.
709 OKLAHOMA BLVD
ALVA, OK 73717-2749
Phone number: 580-327-8627
Mailing Address
KEITH MICHAEL WEAR M.S., A.T.C., L.A.T.
524 MIMOSA DR
ALVA, OK 73717-3330
Phone number: 208-596-8864