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1518481993
JACK DOUGLAS LOCKHART
SAN DIEGO, CA
NPI
1518481993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-CWYSEG)
Enumeration Date
2017-07-27
Last Update Date
2024-02-22
Business Address
JACK DOUGLAS LOCKHART
10717 CAMINO RUIZ STE 207
SAN DIEGO, CA 92126-2364
Phone number: 858-695-2211
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Mailing Address
JACK DOUGLAS LOCKHART
10717 CAMINO RUIZ STE 207
SAN DIEGO, CA 92126-2364
Phone number: 858-695-2211
Copy
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