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1336654946
RYAN BUSSELL
DAHLONEGA, GA
NPI
1336654946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: GA AT003039)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
RYAN BUSSELL ATC, LAT
82 COLLEGE LN
DAHLONEGA, GA 30533
Phone number: 478-232-8826
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Mailing Address
RYAN BUSSELL ATC, LAT
82 COLLEGE CIRCLE
DAHLONEGA, GA 30597
Phone number:
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