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Individual

GAIL L. LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 529-8000
(530) 528-6558
Mailing address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 529-8000
(530) 528-6558

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
696081
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72156118
COMMERCIAL TAX ID
CA
Enumeration date
10/26/2007
Last updated
10/26/2007
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