Individual
BLAKE DALE HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6965 GREENSVIEW VILLAGE DR, CANAL WINCHESTER, OH 43110-8356
(614) 205-3387
Mailing address
6965 GREENSVIEW VILLAGE DR, CANAL WINCHESTER, OH 43110-8356
(614) 205-3387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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