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1760805741
JARRELL JOHNSON
LAWTON, OK
NPI
1760805741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
-- JARRELL JOHNSON
7614 SW CHEROKEE AVE
LAWTON, OK 73505-6421
Phone number: 580-678-6902
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Mailing Address
-- JARRELL JOHNSON
7614 SW CHEROKEE AVE
LAWTON, OK 73505-6421
Phone number: 580-678-6902
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