Individual
STEPHANIE EDEN CHRISTINE HAUBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2074 LAKEWOOD DR, KETTERING, OH 45420-2004
(859) 446-2419
Mailing address
2074 LAKEWOOD DR, KETTERING, OH 45420-2004
(859) 446-2419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 004796
OH
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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