SHANE RYAN

FORT BRAGG, NC
NPI1750798096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001432)
Enumeration Date2014-07-18
Last Update Date2024-10-19
Business Address
SHANE RYAN
2817 REILLY ST
FORT BRAGG, NC 28310-2752
Phone number: 734-395-3145
Mailing Address
SHANE RYAN
1927 FAZIO DR
PINEHURST, NC 28374-1809
Phone number: 734-395-3145
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