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1265170203
GLEN DANYELL GATLING
LAWTON, OK
NPI
1265170203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
GLEN DANYELL GATLING
6047 SW 112TH ST
LAWTON, OK 73505-9637
Phone number: 580-591-1229
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Mailing Address
GLEN DANYELL GATLING
6047 SW 112TH ST
LAWTON, OK 73505-9637
Phone number: 580-591-1229
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