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1124085683
RONALD ROSS GRUBER
MOREHEAD, KY
NPI
1124085683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT374)
Enumeration Date
2006-04-28
Last Update Date
2007-07-08
Business Address
Mr. RONALD ROSS GRUBER ATC
499 VIKING DR
MOREHEAD, KY 40351-8320
Phone number: 606-784-8956
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Mailing Address
Mr. RONALD ROSS GRUBER ATC
295 DOE RUN RD
MOREHEAD, KY 40351-8711
Phone number: 606-783-1629
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