Individual
MR. RYAN THOMAS GOUGHNOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
287 PHILLIPS AVE, MUNROE FALLS, OH 44262-1226
(330) 606-8720
Mailing address
287 PHILLIPS AVE, MUNROE FALLS, OH 44262-1226
(330) 606-8720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004253
OH
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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