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1659741957
LOU RANDALL LOCKE
ORANGE, TX
NPI
1659741957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128352)
Enumeration Date
2015-09-29
Last Update Date
2015-09-29
Business Address
-- LOU RANDALL LOCKE FNP
3838 W PARK AVE
ORANGE, TX 77630-1812
Phone number: 409-882-4705
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Mailing Address
-- LOU RANDALL LOCKE FNP
3838 W PARK AVE
ORANGE, TX 77630-1812
Phone number: 409-882-4705
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