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1164140620
DARRELL DEWAYNE LOCKE
ELIZABETHTOWN, KY
NPI
1164140620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225CX0006X
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
Mr. DARRELL DEWAYNE LOCKE MSW
100 DIECKS DR
ELIZABETHTOWN, KY 42701-2443
Phone number: 270-982-1244
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Mailing Address
Mr. DARRELL DEWAYNE LOCKE MSW
100 DIECKS DR
ELIZABETHTOWN, KY 42701-2443
Phone number: 270-982-1244
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