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Individual
JACK PATRICK HOMAN
Active
Individual
JACK PATRICK HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, AT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005385
OH
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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