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1124516851
PRINCESS J LOCK
KISSIMMEE, FL
NPI
1124516851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: FL APRN9237351)
Enumeration Date
2018-04-27
Last Update Date
2021-12-15
Business Address
PRINCESS J LOCK APRN
2711 N ORANGE BLOSSOM TRL
KISSIMMEE, FL 34744-1373
Phone number: 407-380-0302
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Mailing Address
PRINCESS J LOCK APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 407-222-4543
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