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1730361239
CHARLES E LOCKETT
LOS ANGELES, CA
NPI
1730361239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- CHARLES E LOCKETT
11502 S VERMONT AVE #D
LOS ANGELES, CA 90044-6522
Phone number: 323-755-2742
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Mailing Address
-- CHARLES E LOCKETT
8306 WILSHIRE BLVD #7024
BEVERLY HILLS, CA 90211
Phone number: 323-755-2742
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