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Shirell Locke
NPI 1962128165 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2154 Pike Lake Dr Apt 3
New Brighton, MN 55112 - Phone
- (612) 875-8596
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota