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1972852150
CHARLES LEE KETNER
LAWTON, OK
NPI
1972852150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- CHARLES LEE KETNER
5807 NW KINYON AVE
LAWTON, OK 73505-4629
Phone number: 580-215-3435
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Mailing Address
-- CHARLES LEE KETNER
5807 NW KINYON AVE
LAWTON, OK 73505
Phone number: 580-215-3435
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