JACK DOUGLAS LOCKHART

SAN DIEGO, CA
NPI1518481993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-CWYSEG)
Enumeration Date2017-07-27
Last Update Date2024-02-22
Business Address
JACK DOUGLAS LOCKHART
10717 CAMINO RUIZ STE 207
SAN DIEGO, CA 92126-2364
Phone number: 858-695-2211
Mailing Address
JACK DOUGLAS LOCKHART
10717 CAMINO RUIZ STE 207
SAN DIEGO, CA 92126-2364
Phone number: 858-695-2211
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