CHARLES LEE KETNER

LAWTON, OK
NPI1972852150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- CHARLES LEE KETNER
5807 NW KINYON AVE
LAWTON, OK 73505-4629
Phone number: 580-215-3435
Mailing Address
-- CHARLES LEE KETNER
5807 NW KINYON AVE
LAWTON, OK 73505
Phone number: 580-215-3435