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Individual

ETHAN D NEALEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
8591 OAKES RD, ARCANUM, OH 45304-8904
(937) 947-1329
Mailing address
1444 RED RIVER WEST GROVE RD, LAURA, OH 45337-9626
(937) 823-3145

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/07/2018
Last updated
02/07/2018
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