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1548535339
LISA A LOCKE
GRANTS PASS, OR
NPI
1548535339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
-- LISA A LOCKE B.S.
210 TACOMA ST
GRANTS PASS, OR 97526-9370
Phone number: 541-476-3302
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Mailing Address
-- LISA A LOCKE B.S.
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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