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Individual

RYAN CASEY MCDONOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2300 W INNES ST, SALISBURY, NC 28144-2488
(704) 637-4267
Mailing address
315 W COUNCIL ST, SALISBURY, NC 28144-4209
(304) 932-3501

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4895
NC

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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