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1134307440
LACY CLEMMONS
SHAWNEE, OK
NPI
1134307440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2008-02-08
Last Update Date
2008-02-08
Business Address
-- LACY CLEMMONS
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
-- LACY CLEMMONS
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number:
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