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1225715659
RYAN KELLY
LOGAN, UT
NPI
1225715659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
RYAN KELLY
E 1000 N
LOGAN, UT 84321
Phone number: 214-538-8354
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Mailing Address
RYAN KELLY
E 1000 N
LOGAN, UT 84321
Phone number: 214-538-8354
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