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Individual

TAMMIE JO HAMMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC,CSCS

Contact information

Practice address
59 COLLEGE AVE # 1795, BUCKHANNON, WV 26201-2600
(304) 473-8682
Mailing address
RR 1 BOX 246, BUCKHANNON, WV 26201-9725
(304) 472-8791

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
WV

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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