BRENTON LOCKETT

FORT WAYNE, IN
NPI1518722818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
Mr. BRENTON LOCKETT
12625 PAGE HILL CT
FORT WAYNE, IN 46818-0012
Phone number: 260-348-4738
Mailing Address
Mr. BRENTON LOCKETT
12625 PAGE HILL CT
FORT WAYNE, IN 46818-0012
Phone number: 260-348-4738
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