AUTUMN MARIE HANNA

SOUTH BEND, IN
NPI1003677964
Former NameAUTUMN AXLINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-01-18
Last Update Date2025-08-19
Business Address
AUTUMN MARIE HANNA PA
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-234-8161
Mailing Address
AUTUMN MARIE HANNA PA
26621 HAMILTON ST
EDWARDSBURG, MI 49112-9691
Phone number: 574-855-9892
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