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1811989718
RYAN A. BERRY
APPLETON, WI
NPI
1811989718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 223-039)
Enumeration Date
2005-08-17
Last Update Date
2009-06-11
Business Address
Mr. RYAN A. BERRY LAT
N292 HILLSIDE DR
APPLETON, WI 54915-9414
Phone number: 608-334-4410
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Mailing Address
Mr. RYAN A. BERRY LAT
N292 HILLSIDE DR
APPLETON, WI 54915-9414
Phone number: 608-334-4410
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