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1205179454
KEVIN PAUL MARCUM
INDIAHOMA, OK
NPI
1205179454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
-- KEVIN PAUL MARCUM
23106 SW BISHOP RD
INDIAHOMA, OK 73552
Phone number: 580-284-4219
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Mailing Address
-- KEVIN PAUL MARCUM
23106 SW BISHOP RD
INDIAHOMA, OK 73552
Phone number:
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