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1124054044
KENNETH RUDOLPH LOCKE
PUEBLO, CO
NPI
1124054044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CO 31714)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Dr. KENNETH RUDOLPH LOCKE M.D.
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4818
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Mailing Address
Dr. KENNETH RUDOLPH LOCKE M.D.
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4818
Copy
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