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1386708766
ROGER EARL LOCKE
SAN JOSE, CA
NPI
1386708766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA SR GH 26792253)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Mr. ROGER EARL LOCKE
75 PHELAN AVE #1
SAN JOSE, CA 95112-6120
Phone number: 408-279-3955
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Mailing Address
Mr. ROGER EARL LOCKE
75 PHELAN AVE #1
SAN JOSE, CA 95112-6120
Phone number: 408-279-3955
Copy
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