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1245680982
RYAN SMITH
CARROLLTON, GA
NPI
1245680982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002763)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- RYAN SMITH ATC LAT
1601 MAPLE ST
CARROLLTON, GA 30118-0001
Phone number: 678-839-3968
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Mailing Address
-- RYAN SMITH ATC LAT
915 LOVVORN RD APT 503C
CARROLLTON, GA 30117-2618
Phone number: 251-362-1531
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