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1487077756
ANDREA MELONTREE
LAWTON, OK
NPI
1487077756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- ANDREA MELONTREE
5003 NE DEARBORN AVE
LAWTON, OK 73507-7349
Phone number: 405-708-3376
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Mailing Address
-- ANDREA MELONTREE
5003 NE DEARBORN AVE
LAWTON, OK 73507-7349
Phone number: 405-708-3376
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