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1205348547
RYAN ISHIHARA
SALEM, OR
NPI
1205348547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-10182504)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
RYAN ISHIHARA ATC
765 14TH ST NE
SALEM, OR 97301-2611
Phone number: 808-292-6907
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Mailing Address
RYAN ISHIHARA ATC
765 14TH ST NE
SALEM, OR 97301-2611
Phone number: 503-399-3241
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