Individual
AIDAN LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 MARCUS RUN RD, WAVERLY, OH 45690-9574
(740) 835-0785
Mailing address
195 MARCUS RUN RD, WAVERLY, OH 45690-9574
(740) 835-0785
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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