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1841533023
DERRICK LAMONT HARKLESS
LAWTON, OK
NPI
1841533023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
-- DERRICK LAMONT HARKLESS
1438 NW 40TH ST
LAWTON, OK 73505-3601
Phone number: 580-284-4186
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Mailing Address
-- DERRICK LAMONT HARKLESS
1438 NW 40TH ST
LAWTON, OK 73505-3601
Phone number: 580-284-4186
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