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1366779852
JOSHUA IAN LOCKWOOD
FORT CAMPBELL, KY
NPI
1366779852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L003754)
Enumeration Date
2009-11-04
Last Update Date
2021-09-16
Business Address
JOSHUA IAN LOCKWOOD RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
JOSHUA IAN LOCKWOOD RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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