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1831593292
RYAN GERAGHTY
FORT WAYNE, IN
NPI
1831593292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002260A)
Enumeration Date
2014-10-14
Last Update Date
2024-12-04
Business Address
RYAN GERAGHTY MAT, ATC, LAT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 574-261-7517
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Mailing Address
RYAN GERAGHTY MAT, ATC, LAT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 574-261-7517
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