Individual
DANA DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Mailing address
8 NORMAN AVE, CHARLESTOWN, NH 03603-4722
(603) 892-9381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1500
NH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2020
Last updated
01/03/2023
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