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1063812592
RYAN WILLIS
SALT LAKE CITY, UT
NPI
1063812592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 7913172-4810)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
-- RYAN WILLIS MS, ATC-L, CES
5670 W RED RIDGE LN
SALT LAKE CITY, UT 84118-5004
Phone number: 801-865-1239
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Mailing Address
-- RYAN WILLIS MS, ATC-L, CES
5670 W RED RIDGE LN
SALT LAKE CITY, UT 84118-5004
Phone number: 801-865-1239
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