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1336328970
RYAN THOMAS OSTAPOVICH
FORT COLLINS, CO
NPI
1336328970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
Mr. RYAN THOMAS OSTAPOVICH ATC
3650 BIG DIPPER DR
FORT COLLINS, CO 80528-4454
Phone number: 970-222-5102
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Mailing Address
Mr. RYAN THOMAS OSTAPOVICH ATC
3650 BIG DIPPER DR
FORT COLLINS, CO 80528-4454
Phone number: 970-222-5102
Copy
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