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1093146250
JACOB RYAN
RICHMOND, KY
NPI
1093146250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT495)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
JACOB RYAN M.S. ATC
521 LANCASTER AVENUE 115 ALUMNI COLISEUM
RICHMOND, KY 40475
Phone number: 859-622-8174
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Mailing Address
JACOB RYAN M.S. ATC
521 LANCASTER AVENUE 115 ALUMNI COLISEUM
RICHMOND, KY 40475
Phone number: 859-622-8174
Copy
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