Individual
HANNAH JO BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 GRANVILLE ST, NEWARK, OH 43055-4483
(740) 674-7432
Mailing address
3874 APPLE VALLEY DR, HOWARD, OH 43028-9263
(614) 634-3626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005415
OH
Other
Enumeration date
09/08/2015
Last updated
11/01/2023
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