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1609869452
REGINALD DEAN LOCKLEAR
MIAMI, FL
NPI
1609869452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9110529)
Enumeration Date
2005-08-26
Last Update Date
2020-05-27
Business Address
REGINALD DEAN LOCKLEAR PA
1610 NE MIAMI GARDENS DR
MIAMI, FL 33179-4900
Phone number: 305-940-6061
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Mailing Address
REGINALD DEAN LOCKLEAR PA
900 S PINE ISLAND RD STE 800
PLANTATION, FL 33324-3923
Phone number: 305-940-6016
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