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1639734197
DONALD DWAYNE LOCKLEAR
PEMBROKE, NC
NPI
1639734197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 240044)
Enumeration Date
2019-05-09
Last Update Date
2020-09-16
Business Address
DONALD DWAYNE LOCKLEAR
307 E WARDELL DR
PEMBROKE, NC 28372-7998
Phone number: 910-521-2816
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Mailing Address
DONALD DWAYNE LOCKLEAR
60 COMMERCE PLAZA CIR
PEMBROKE, NC 28372-7386
Phone number: 910-521-2900
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