Individual
PAIGE HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
573 W MAIN ST, NEWARK, OH 43055-4150
(740) 616-6064
Mailing address
573 W MAIN ST, NEWARK, OH 43055-4150
(740) 616-6064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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