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1841347945
RYAN SHOCKEY
ANGOLA, IN
NPI
1841347945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001357A)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- RYAN SHOCKEY ATC
1 UNIVERSITY AVE
ANGOLA, IN 46703-1764
Phone number: 260-665-4846
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Mailing Address
-- RYAN SHOCKEY ATC
702 S MARTHA ST APT. 4
ANGOLA, IN 46703-2174
Phone number: 260-437-2638
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