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1306575329
LAFAYETTE DANIEL DECAUSEY
LAWTON, OK
NPI
1306575329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK TEMP206872)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
LAFAYETTE DANIEL DECAUSEY
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
LAFAYETTE DANIEL DECAUSEY
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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