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1174966972
JERRY LEE THORNE
LAWTON, OK
NPI
1174966972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-04-10
Last Update Date
2013-04-10
Business Address
Mr. JERRY LEE THORNE
122 NE BABBIT ST
LAWTON, OK 73507-1424
Phone number: 580-704-0611
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Mailing Address
Mr. JERRY LEE THORNE
122 NE BABBIT ST
LAWTON, OK 73507-1424
Phone number: 580-704-0611
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