Individual
CHRISTIAN LAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4915 SE CHURCHILL WAY, LAWTON, OK 73501-6405
(580) 713-3478
Mailing address
4915 SE CHURCHILL WAY, LAWTON, OK 73501-6405
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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