Gabrielle Locke

NPI #1548708290 in Fairview Heights, Illinois

Provider Information

NPI Number: 1548708290
Entity Type: Individual
Name: Gabrielle Locke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 2, 2017
Last Updated: Feb 2, 2017

Practice Location

Address: 9421 MARBARRY DR
City: Fairview Heights
State: Illinois
ZIP Code: 62208-1146
Phone: (618) 550-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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