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1053860387
RYAN GLYNN GOODMAN
GRAND JUNCTION, CO
NPI
1053860387
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Other Name
RYAN GOODMAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0004792)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
Mr. RYAN GLYNN GOODMAN
1060 ORCHARD AVE
GRAND JUNCTION, CO 81501-2997
Phone number: 970-644-3740
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Mailing Address
Mr. RYAN GLYNN GOODMAN
1060 ORCHARD AVE
GRAND JUNCTION, CO 81501-2997
Phone number: 970-644-3740
Copy
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