Individual
JACK PATRICK HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, AT
Contact information
Practice address
7486 STATE ROUTE 274, CELINA, OH 45822-9566
(567) 644-3286
Mailing address
7486 STATE ROUTE 274, CELINA, OH 45822-9566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005385
OH
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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