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1114288958
VICKI CRAIG
GORE, OK
NPI
1114288958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- VICKI CRAIG
RR 1 BOX 70-2
GORE, OK 74435-9524
Phone number: 918-348-4714
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Mailing Address
-- VICKI CRAIG
RR 1 BOX 70-2
GORE, OK 74435-9524
Phone number: 918-348-4714
Copy