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1912350190
BRYAN TRAN
THOUSAND OAKS, CA
NPI
1912350190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 2000012493)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
Mr. BRYAN TRAN ATC
60 W OLSEN RD LOS ANGELES RAMS/ATHLETIC TRAINING DEPT.
THOUSAND OAKS, CA 91360-2700
Phone number: 847-912-5629
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Mailing Address
Mr. BRYAN TRAN ATC
61 N MOUNT PROSPECT RD
DES PLAINES, IL 60016-2263
Phone number: 847-912-5629
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