GLEN DANYELL GATLING

LAWTON, OK
NPI1265170203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-05-20
Last Update Date2022-05-20
Business Address
GLEN DANYELL GATLING
6047 SW 112TH ST
LAWTON, OK 73505-9637
Phone number: 580-591-1229
Mailing Address
GLEN DANYELL GATLING
6047 SW 112TH ST
LAWTON, OK 73505-9637
Phone number: 580-591-1229