JACK LESLIE LOCK

DUMAS, AR
NPI1265917611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005934)
Enumeration Date2018-10-02
Last Update Date2018-10-18
Business Address
JACK LESLIE LOCK APRN FNP-BC
811 HIGHWAY 65 S
DUMAS, AR 71639-3006
Phone number: 870-456-3570
Mailing Address
JACK LESLIE LOCK APRN FNP-BC
PO BOX 95
DE WITT, AR 72042-0095
Phone number:
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