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1124470562
MICHAEL RYAN
LADSON, SC
NPI
1124470562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 328)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
MR. MICHAEL RYAN ATC
2002 CRIPPLECREEK DR
LADSON, SC 29456-3072
Phone number: 843-832-8795
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Mailing Address
MR. MICHAEL RYAN ATC
2002 CRIPPLECREEK DR
LADSON, SC 29456-3072
Phone number: 843-832-8795
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