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1730717091
BRYAN M LANGAN
JACKSONVILLE, IL
NPI
1730717091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002948)
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
BRYAN M LANGAN ATC
8 SUNNYDALE AVE
JACKSONVILLE, IL 62650-2656
Phone number: 217-370-0441
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Mailing Address
BRYAN M LANGAN ATC
8 SUNNYDALE AVE
JACKSONVILLE, IL 62650-2656
Phone number: 217-370-0441
Copy
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