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1023500162
RYAN JAMES RASMUSSEN
BOISE, ID
NPI
1023500162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
(Licence: ID 1055541)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
RYAN JAMES RASMUSSEN MK, RCEP, CCT
9976 W EMERALD ST
BOISE, ID 83704-9769
Phone number: 208-229-3742
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Mailing Address
RYAN JAMES RASMUSSEN MK, RCEP, CCT
8278 W LIMELIGHT ST APT 306
BOISE, ID 83714-6199
Phone number: 208-901-5666
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