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Individual
HORNELL HEARN
Active
Individual
HORNELL HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROSTHETIST
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO04014
ABC CERTIFICATE
DE
Enumeration date
10/14/2021
Last updated
10/14/2021
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