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1326590167
RYAN PENA
DALLAS, TX
NPI
1326590167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5799)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- RYAN PENA MS LAT ATC
1702 ROBERT B CULLUM BOULEVARD
DALLAS, TX 75210-2319
Phone number: 214-775-8943
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Mailing Address
-- RYAN PENA MS LAT ATC
6106 SAINT MORITZ AVE
DALLAS, TX 75214-2319
Phone number: 214-493-9415
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