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1548690860
RYAN LEE ROCKWOOD
PORTLAND, OR
NPI
1548690860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 10121130)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
Mr. RYAN LEE ROCKWOOD ATC
3303 SW BOND AVE # CHH3T
PORTLAND, OR 97239-4501
Phone number: 503-494-3151
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Mailing Address
Mr. RYAN LEE ROCKWOOD ATC
3303 SW BOND AVE # CHH3T
PORTLAND, OR 97239-4501
Phone number: 503-494-3151
Copy
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