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1730542069
RYAN MORAN
CHICAGO, IL
NPI
1730542069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004172)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
-- RYAN MORAN ATC
7626 N EASTLAKE TER APT 1
CHICAGO, IL 60626-1438
Phone number: 312-532-9624
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Mailing Address
-- RYAN MORAN ATC
7626 N EASTLAKE TER APT 1
CHICAGO, IL 60626-1438
Phone number:
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