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1164958476
RYAN LONGORIA
SAN ANTONIO, TX
NPI
1164958476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6678)
Enumeration Date
2017-05-05
Last Update Date
2017-05-05
Business Address
Mr. RYAN LONGORIA MS, ATC, LAT, CES
138 GROBE RD
SAN ANTONIO, TX 78220-4419
Phone number: 210-843-2961
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Mailing Address
Mr. RYAN LONGORIA MS, ATC, LAT, CES
138 GROBE RD
SAN ANTONIO, TX 78220-4419
Phone number:
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