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1568637742
RYAN PEDERSON
CLERMONT, FL
NPI
1568637742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 1539)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
-- RYAN PEDERSON ATC, LAT
13322 EXCALIBUR RD
CLERMONT, FL 34711-6695
Phone number: 352-242-2080
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Mailing Address
-- RYAN PEDERSON ATC, LAT
13322 EXCALIBUR RD
CLERMONT, FL 34711-6695
Phone number:
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