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Individual

EMMA RAY HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
20311B TIMBERLAKE RD, LYNCHBURG, VA 24502-7203
(434) 237-6812
Mailing address
1735 COVERED BRIDGE RD, GLADYS, VA 24554-2884
(434) 610-3965

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/09/2021
Last updated
08/09/2021
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