Individual
RYAN GEBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 HIGHLAND CTR, ATHLETIC TRAINING - DEPARTMENT OF HUMAN PERFORMANCE, MANKATO, MN 56001-6537
(507) 389-6313
Mailing address
400 REDPOLL AVE SE, NEW PRAGUE, MN 56071-6824
(952) 913-7506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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