TRAVIS ALLEN WAYNE LOCKNER

BRISTOL, TN
NPI1790077105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-05-04
Last Update Date2011-05-04
Business Address
-- TRAVIS ALLEN WAYNE LOCKNER
26 MIDWAY ST
BRISTOL, TN 37620-1706
Phone number: 423-989-4500
Mailing Address
-- TRAVIS ALLEN WAYNE LOCKNER
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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