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1972868016
RYAN NEAL WILLIS
BLUE SPRINGS, MS
NPI
1972868016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1058)
Enumeration Date
2012-07-04
Last Update Date
2012-07-04
Business Address
Mr. RYAN NEAL WILLIS M.A.T., ATC
1200 MAGNOLIA WAY PROGRESSIVE HEALTH (ESI)
BLUE SPRINGS, MS 38828-6000
Phone number: 662-317-3229
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Mailing Address
Mr. RYAN NEAL WILLIS M.A.T., ATC
1200 MAGNOLIA WAY PROGRESSIVE HEALTH (ESI)
BLUE SPRINGS, MS 38828-6000
Phone number: 662-317-3229
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