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1710393103
AVI LOCKER
LAKEWOOD, NJ
NPI
1710393103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00337100)
Enumeration Date
2014-07-07
Last Update Date
2014-07-07
Business Address
-- AVI LOCKER PA-C
600 RIVER AVE MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS
LAKEWOOD, NJ 08701-3002
Phone number: 732-886-4525
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Mailing Address
-- AVI LOCKER PA-C
1281 CENTRAL AVE
LAKEWOOD, NJ 08701-3002
Phone number: 732-575-6745
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