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1487878518
JERRY WAYNE SPIVEY
OKLAHOMA CITY, OK
NPI
1487878518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: OK 080138764)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. JERRY WAYNE SPIVEY
1215 N KLEIN AVE
OKLAHOMA CITY, OK 73106-4616
Phone number: 405-204-0139
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Mailing Address
Mr. JERRY WAYNE SPIVEY
1215 N KLEIN AVE
OKLAHOMA CITY, OK 73106-4616
Phone number: 405-204-0139
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