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1407149636
RYAN BRADY LONG
DALLAS, TX
NPI
1407149636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1163748)
Enumeration Date
2011-05-20
Last Update Date
2011-05-20
Business Address
Mr. RYAN BRADY LONG MSPT, ATP
1868 W MOCKINGBIRD LN
DALLAS, TX 75235-5013
Phone number: 214-323-9393
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Mailing Address
Mr. RYAN BRADY LONG MSPT, ATP
1868 W MOCKINGBIRD LN
DALLAS, TX 75235-5013
Phone number: 214-323-9393
Copy
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