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1073023792
TYLER HANSON
LEWISBURG, PA
NPI
1073023792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006691)
Enumeration Date
2017-10-08
Last Update Date
2017-10-08
Business Address
TYLER HANSON MS, ATC, LAT
120 HARDWOOD DR
LEWISBURG, PA 17837-5030
Phone number: 570-556-4191
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Mailing Address
TYLER HANSON MS, ATC, LAT
18415 CUB CIR
BLOOMSBURG, PA 17815-8339
Phone number: 219-973-8033
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