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1366081325
RICKY P. LOCKETT, D.O, PA
TAMPA, FL
NPI
1366081325
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Entity Type
Organization
Authorized Contact
RICKY P. LOCKETT
Director
727-896-8686
Organization Subpart ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2019-12-22
Last Update Date
2019-12-22
Business Address
RICKY P. LOCKETT, D.O, PA
2822 W VIRGINIA AVE
TAMPA, FL 33607-6330
Phone number: 727-452-9526
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Mailing Address
RICKY P. LOCKETT, D.O, PA
1501 5TH AVE N
ST PETERSBURG, FL 33705-2008
Phone number: 727-452-9526
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