Individual
JORDAN NICHOLAS HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W GRAND AVE APT 4L, DAYTON, OH 45405-4453
(207) 723-1478
Mailing address
515 W GRAND AVE APT 4L, DAYTON, OH 45405-4453
(207) 723-1478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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