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1194898783
ALISSA LOCKE
BEND, OR
NPI
1194898783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 11765)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
MRS. ALISSA LOCKE LMT
655 NW COLUMBIA ST
BEND, OR 97701-3011
Phone number: 541-317-8820
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Mailing Address
MRS. ALISSA LOCKE LMT
3320 NE MANCHESTER CT
BEND, OR 97701-8360
Phone number:
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