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1396116174
COLBY CHARLES LOCKE
BLOOMINGTON, IN
NPI
1396116174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-10-19
Last Update Date
2015-10-19
Business Address
COLBY CHARLES LOCKE B.S.
1025 E 7TH ST #111
BLOOMINGTON, IN 47405-7109
Phone number: 812-855-1561
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Mailing Address
COLBY CHARLES LOCKE B.S.
1471 W ALLEN ST
BLOOMINGTON, IN 47403-2950
Phone number: 603-662-9886
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