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1619412053
JOEL THOMAS LOCKHART
NORMAL, IL
NPI
1619412053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8054)
Enumeration Date
2016-12-20
Last Update Date
2020-12-03
Business Address
JOEL THOMAS LOCKHART MS, LAT, ATC
9 TRADERS CIR APT 210
NORMAL, IL 61761-4133
Phone number: 504-273-3485
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Mailing Address
JOEL THOMAS LOCKHART MS, LAT, ATC
2316 HAZARD ST APT 4
HOUSTON, TX 77019-6552
Phone number: 504-273-3485
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