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Individual

DR. DARRELL VAUGHN LOCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
108 N MAIN STREET, WAYNESBURG, OH 44688-0075
(330) 866-0001
(330) 866-0002
Mailing address
108 N MAIN STREET, WAYNESBURG, OH 44688-0075
(330) 866-0001
(330) 866-0002

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
135
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00321806
RAILROAD MEDICARE
OH
Enumeration date
07/25/2006
Last updated
04/24/2008
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