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1104162189
TYRONE S LOCKETT
NORTH CANTON, OH
NPI
1104162189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA. 08842)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
-- TYRONE S LOCKETT LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8239
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Mailing Address
-- TYRONE S LOCKETT LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8239
Copy
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