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1134593981
RYAN PATRICK ROSS
BRICK, NJ
NPI
1134593981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002740-1)
Enumeration Date
2015-11-17
Last Update Date
2016-11-09
Business Address
Mr. RYAN PATRICK ROSS MS ATC
62 BOOM LN
BRICK, NJ 08723-6767
Phone number: 732-267-9732
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Mailing Address
Mr. RYAN PATRICK ROSS MS ATC
62 BOOM LN
BRICK, NJ 08723-6767
Phone number: 732-267-9732
Copy
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