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1518722818
BRENTON LOCKETT
FORT WAYNE, IN
NPI
1518722818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
Mr. BRENTON LOCKETT
12625 PAGE HILL CT
FORT WAYNE, IN 46818-0012
Phone number: 260-348-4738
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Mailing Address
Mr. BRENTON LOCKETT
12625 PAGE HILL CT
FORT WAYNE, IN 46818-0012
Phone number: 260-348-4738
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