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Organization

JOHN D LOCKENOUR D C INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D LOCKENOUR DC (OWNER)
(386) 689-4351
Entity
Organization

Contact information

Practice address
5889 S WILLIAMSON BLVD, SUITE 203, PORT ORANGE, FL 32128-7134
(386) 689-4351
Mailing address
2634 SPRUCE CREEK BLVD, PORT ORANGE, FL 32128-6781
(386) 689-4351

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9104
FL

Other

Enumeration date
01/26/2009
Last updated
03/19/2009
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