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Individual

MRS. DANIELLE ELIZABETH HURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3490 FAR HILLS AVE, KETTERING, OH 45429-2500
(937) 395-3900
Mailing address
715 JUSTIN COURT, MIAMISBURG, OH 45342

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2695
OH

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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