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1568010692
RYAN THOMAS GREEN
ABILENE, TX
NPI
1568010692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5569)
Enumeration Date
2019-09-02
Last Update Date
2019-09-02
Business Address
RYAN THOMAS GREEN LAT
1633 COTTONWOOD ST
ABILENE, TX 79601-3033
Phone number: 325-672-4372
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Mailing Address
RYAN THOMAS GREEN LAT
1633 COTTONWOOD ST
ABILENE, TX 79601-3033
Phone number: 325-672-4372
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