Individual
HAILI JADE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1799
(614) 673-1093
(641) 673-1290
Mailing address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1799
(641) 673-1093
(641) 673-1290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
097634
IA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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