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HANNAH GOMEZ

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1700416948

Individual Registrant:
 HANNAH  GOMEZ 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
115 POWELL ST  SWAINSBORO, GA 30401-3200 US
Tel: 912-585-3807  Fax: --

Contact information for business:
115 POWELL ST  SWAINSBORO, GA 30401-3200 US
Tel: 912-585-3807  Fax: --

Registration Information:
NPI: 1700416948
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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