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1083185714
EARL LAVELLE LOCKE
SAN JOSE, CA
NPI
1083185714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
Mr. EARL LAVELLE LOCKE
5207 TERNER WAY APT 101
SAN JOSE, CA 95136-4106
Phone number: 408-849-3062
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Mailing Address
Mr. EARL LAVELLE LOCKE
1500 E HAMILTON AVE SUITE 105
CAMPBELL,, CA 95008
Phone number: 408-772-3775
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