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1932198439
SHAWN TERRENCE LOCKETT
APO, AP
NPI
1932198439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA 100003949)
Enumeration Date
2005-10-18
Last Update Date
2022-07-21
Business Address
Mr. SHAWN TERRENCE LOCKETT PA
HHC 18TH MEDCOM BOX 592 UNIT 15281
APO, AP 96205-0054
Phone number: 971-645-4334
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Mailing Address
Mr. SHAWN TERRENCE LOCKETT PA
CMR 420 BOX 2452
APO, AE 09063
Phone number: 971-645-4334
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