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Individual
MR. JONATHAN HATCH DANA
Active
Individual
MR. JONATHAN HATCH DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
28
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28
NH LIC
—
Enumeration date
02/02/2018
Last updated
06/16/2018
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