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Individual
RYAN WAYNE TAYLOR
Active
Individual
RYAN WAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT256
ME
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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