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1053439166
RYAN SCOTT IZELL
LONG BEACH, CA
NPI
1053439166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- RYAN SCOTT IZELL
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
-- RYAN SCOTT IZELL
4034 ALADDIN DR
HUNTINGTON BEACH, CA 92649-4225
Phone number: 626-533-3355
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