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1932457843
SAMMY CLARENCE LOOKOUT
PAWHUSKA, OK
NPI
1932457843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
MR. SAMMY CLARENCE LOOKOUT
1011 GRANDVIEW AVE
PAWHUSKA, OK 74056-3023
Phone number: 918-287-5417
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Mailing Address
MR. SAMMY CLARENCE LOOKOUT
1011 GRANDVIEW AVE
PAWHUSKA, OK 74056-3023
Phone number: 918-287-5417
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