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1770115172
RYAN DOUGLAS GLACKMAN
EMPORIA, KS
NPI
1770115172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-02-04
Last Update Date
2023-03-06
Business Address
RYAN DOUGLAS GLACKMAN ATC
1 KELLOGG CIR
EMPORIA, KS 66801-5087
Phone number: 620-341-5955
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Mailing Address
RYAN DOUGLAS GLACKMAN ATC
5235 PICKET DR
COLORADO SPRINGS, CO 80918-3621
Phone number: 719-510-3805
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