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Madison Ames

Student in an Organized Health Care Education/Training Program in Dayton, OH. Individual provider (NPI-1).

NPI number1750863387
StatusActive
Last updated in NPPESAug 30, 2018

Details

NPI
1750863387
Entity type
Individual (NPI-1)
Name
Madison Ames
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2018
Last updated
Aug 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

4105 Marianne Dr
Dayton, OH 45404-1370

Phone 937-838-6613

Mailing address

4105 Marianne Dr
Dayton, OH 45404-1370

Phone 937-838-6613

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