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1114162294
DUDLEY LOCKETT
VALLEJO, CA
NPI
1114162294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
-- DUDLEY LOCKETT
301 GEORGIA ST
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
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Mailing Address
-- DUDLEY LOCKETT
301 GEORGIA ST
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
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