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1447646187
RYAN VICKNAIR
LOUISVILLE, KY
NPI
1447646187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1181)
Enumeration Date
2015-04-09
Last Update Date
2015-04-09
Business Address
-- RYAN VICKNAIR
8036 POST OAK PL
LOUISVILLE, KY 40222-6835
Phone number: 502-852-7122
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Mailing Address
-- RYAN VICKNAIR
8036 POST OAK PL
LOUISVILLE, KY 40222-6835
Phone number:
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