Individual
JEFFREY GAITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 W MENNONITE RD, AURORA, OH 44202-9238
(765) 465-1475
Mailing address
132 W MENNONITE RD, AURORA, OH 44202-9238
(765) 465-1475
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
UH643613
OH
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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