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1265539811
MARY MARTHA
LAWTON, OK
NPI
1265539811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
385H00000X Respite Care
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
Ms. MARY MARTHA
4534 SE ELLSWORTH AVE
LAWTON, OK 73501-8334
Phone number: 580-357-5880
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Mailing Address
Ms. MARY MARTHA
4534 SE ELLSWORTH AVE
LAWTON, OK 73501-8334
Phone number: 580-357-5880
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