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1811193964
LINDA SUE CHURCH
LAWTON, OK
NPI
1811193964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
273Y00000X Rehabilitation Unit
(Licence: OK TA 187)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
MRS. LINDA SUE CHURCH PTA
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-355-8620
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Mailing Address
MRS. LINDA SUE CHURCH PTA
104 COPPER MOUNTAIN DR
LAWTON, OK 73507-9016
Phone number: 580-529-2198
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