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Individual

RYAN WILLIAM MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
600 COLLEGE ST, PORTLAND, TN 37148-2105
(615) 838-2215
Mailing address
1190 BONNIE LN, CROSS PLAINS, TN 37049-1426

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2200
TN

Other

Enumeration date
12/10/2018
Last updated
12/10/2018
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