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1174267454
ERIC LOCKETT
SHREVEPORT, LA
NPI
1174267454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: LA 01975202)
Enumeration Date
2022-04-23
Last Update Date
2022-04-23
Business Address
Mr. ERIC LOCKETT
1138 CRESTMOOR DR
SHREVEPORT, LA 71107-5523
Phone number: 972-748-4402
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Mailing Address
Mr. ERIC LOCKETT
1138 CRESTMOOR DR
SHREVEPORT, LA 71107-5523
Phone number: 972-748-4402
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