Individual
CINDY LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
498 W MAIN ST, MADISON, OH 44057-3134
(440) 417-4386
Mailing address
498 WEST MAIN STREET, MADISON, OH 44057-3134
(440) 417-4386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-099024
OH
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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