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Individual

HANNAH HAZLY BARBARA HUTCHESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 658-5540
Mailing address
1815 W 18TH ST APT A1, CEDAR FALLS, IA 50613-7105
(641) 231-1704

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/14/2018
Last updated
06/14/2018
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