CLYDE MILTON LOCKETT

SOUTH BEND, IN
NPI1174291520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies172A00000X Driver
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
Mr. CLYDE MILTON LOCKETT
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617-1478
Phone number: 219-312-1020
Mailing Address
Mr. CLYDE MILTON LOCKETT
PO BOX 312
CROWN POINT, IN 46308-0312
Phone number:
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