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1194296210
DESMOND E KETTER
BROKEN ARROW, OK
NPI
1194296210
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Professional Name
DESMOND E KETTER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
Mr. DESMOND E KETTER
4071 S 211TH EAST AVE
BROKEN ARROW, OK 74014-8717
Phone number: 918-645-6064
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Mailing Address
Mr. DESMOND E KETTER
4071 S 211TH EAST AVE
BROKEN ARROW, OK 74014-8717
Phone number: 918-645-6064
Copy
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