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1427693654
RYAN BONANNO
DALTON, GA
NPI
1427693654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001260)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
RYAN BONANNO ATC
1225 BROADRICK DR
DALTON, GA 30720-2504
Phone number: 706-272-6000
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Mailing Address
RYAN BONANNO ATC
1225 BROADRICK DR
DALTON, GA 30720-2504
Phone number: 706-272-6000
Copy
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