DEREK ALAN HORNAMAN

ERIE, PA
NPI1932600582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT004489)
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
DEREK ALAN HORNAMAN ATC
100 PEACH ST
ERIE, PA 16507-1423
Phone number: 814-860-4706
Mailing Address
DEREK ALAN HORNAMAN ATC
4725 CONRAD RD
ERIE, PA 16510-3815
Phone number: 814-282-6817
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