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1700923778
DANNY WAYNE BULLARD
TUPELO, OK
NPI
1700923778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OK 200080050A)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- DANNY WAYNE BULLARD
RR 1 BOX 24 48 HIGHWAY
TUPELO, OK 74572-9706
Phone number: 580-927-5158
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Mailing Address
-- DANNY WAYNE BULLARD
PO BOX 188
TUPELO, OK 74572-0188
Phone number: 580-927-5158
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