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1336615046
JERA D BURTIN
WATONGA, OK
NPI
1336615046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
JERA D BURTIN
220 N MORELAND AVE
WATONGA, OK 73772-4038
Phone number: 405-822-6847
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Mailing Address
JERA D BURTIN
220 N MORELAND AVE
WATONGA, OK 73772-4038
Phone number: 405-822-6847
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