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1083090625
RYAN DERRAH
FORT HOOD, TX
NPI
1083090625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NE 31328)
Enumeration Date
2015-08-05
Last Update Date
2020-08-19
Business Address
RYAN DERRAH
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 503-539-6893
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Mailing Address
RYAN DERRAH
5412 SOUTHERN CROSSING DR
TEMPLE, TX 76502-7703
Phone number: 503-539-6893
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