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1922632207
JIMMY LEWIS
WATTS, OK
NPI
1922632207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
JIMMY LEWIS
399 TILLERY LN
WATTS, OK 74964-5072
Phone number: 918-422-0028
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Mailing Address
JIMMY LEWIS
PO BOX 241
SILOAM SPRINGS, AR 72761-0241
Phone number: 918-422-0028
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