Individual
MR. GABRIEL LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139-1099
(617) 575-5399
Mailing address
3700 WINDMEADOWS BLVD APT N128, GAINESVILLE, FL 32608-0447
(615) 225-7049
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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