Individual
MR. CHARLES DEVON GLADNEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SW OAK TREE DR, LAWTON, OK 73505-9579
(580) 917-0325
Mailing address
15 SW OAK TREE DR, LAWTON, OK 73505-9579
(580) 917-0325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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