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Individual

MS. ANDREA LEAH HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
STUDENT

Contact information

Practice address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(765) 620-4306
Mailing address
5324 LIZ LN # 2, ANDERSON, IN 46017-9669
(765) 620-4306

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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