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1316512874
RYAN D LACY
LUBBOCK, TX
NPI
1316512874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 2000041029)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
RYAN D LACY MAT, ATC
4909 39TH ST
LUBBOCK, TX 79414-2708
Phone number: 180-678-6464
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Mailing Address
RYAN D LACY MAT, ATC
4909 39TH ST
LUBBOCK, TX 79414-2708
Phone number: 180-678-6464
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