CHARLES LEE BERG

MIAMI, OK
NPI1306173745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
-- CHARLES LEE BERG
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
Mailing Address
-- CHARLES LEE BERG
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845