Individual
MR. HANK J GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1911 WEST 28TH STREET, CLEVELAND, OH 44113
(216) 651-0222
Mailing address
3194 W 140TH ST, CLEVELAND, OH 44111-1443
(216) 671-3284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000278
OH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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