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1174503387
JEFFERY CLYDE LOCKE
MELBOURNE, FL
NPI
1174503387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OP000891)
Enumeration Date
2006-01-23
Last Update Date
2008-02-14
Business Address
Dr. JEFFERY CLYDE LOCKE
2420 S BABCOCK ST
MELBOURNE, FL 32901-5356
Phone number: 321-725-4755
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Mailing Address
Dr. JEFFERY CLYDE LOCKE
2420 S BABCOCK ST
MELBOURNE, FL 32901-5356
Phone number: 321-725-4755
Copy
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