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1700271715
JAY SHOEMATE
LAWTON, OK
NPI
1700271715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- JAY SHOEMATE
1813 NW 32ND ST
LAWTON, OK 73505-3870
Phone number: 580-514-0766
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Mailing Address
-- JAY SHOEMATE
1813 NW 32ND ST
LAWTON, OK 73505-3870
Phone number: 580-514-0766
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