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1013453935
JAMIE HORACEK
LAWTON, OK
NPI
1013453935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OK 2779)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- JAMIE HORACEK
29 KETCH CREEK CIR
LAWTON, OK 73507-9030
Phone number: 580-442-3905
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Mailing Address
-- JAMIE HORACEK
BLDG. 652 HAMILTON RD USA DENTAL ACTIVITY
FT. SILL, OK 73503
Phone number:
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