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1104284439
RYAN MICHAEL EDDY
CHARLOTTESVILLE, VA
NPI
1104284439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002425)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
-- RYAN MICHAEL EDDY ATC
978 SOMERSET CT
CHARLOTTESVILLE, VA 22901-1755
Phone number: 717-658-3604
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Mailing Address
-- RYAN MICHAEL EDDY ATC
978 SOMERSET CT
CHARLOTTESVILLE, VA 22901-1755
Phone number: 717-658-3604
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