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1245713460
LARETHA JOHNSON-VINCENT
MANGUM, OK
NPI
1245713460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
LARETHA JOHNSON-VINCENT
125 N OKLAHOMA AVE
MANGUM, OK 73554-4279
Phone number: 713-876-0839
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Mailing Address
LARETHA JOHNSON-VINCENT
125 N OKLAHOMA AVE
MANGUM, OK 73554-4279
Phone number: 713-876-0839
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