Individual
MRS. KESHIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SW 45TH ST, LAWTON, OK 73505-6802
(580) 647-8117
Mailing address
22 SW 45TH ST, LAWTON, OK 73505-6802
(580) 647-8117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
02/09/2015
Last updated
02/22/2016
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