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1942083100
PHOENIX LOCKLEAR
LUMBERTON, NC
NPI
1942083100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13860)
Enumeration Date
2023-08-14
Last Update Date
2024-02-01
Business Address
Mr. PHOENIX LOCKLEAR
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
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Mailing Address
Mr. PHOENIX LOCKLEAR
63 BURNS RD
LUMBERTON, NC 28358-0106
Phone number:
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