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1740756030
ISHMAEL RYAN
BABSON PARK, FL
NPI
1740756030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5097)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
ISHMAEL RYAN ATC
1201 N SCENIC HWY
BABSON PARK, FL 33827-9751
Phone number: 904-477-2059
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Mailing Address
ISHMAEL RYAN ATC
1320 EAGLES CLAW CT
JACKSONVILLE, FL 32225-0816
Phone number: 904-477-2059
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