Individual
JUSTIN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(636) 248-6171
Mailing address
3153 CLUBHOUSE DR APT 2, BEAVERCREEK, OH 45431-5623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
06/30/2023
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