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1083911556
RYAN MATTHEW IRVINE
SAN DIEGO, CA
NPI
1083911556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2011-02-18
Last Update Date
2011-02-18
Business Address
MR. RYAN MATTHEW IRVINE
34101 FARENHOLT AVE BLDG 14, IDC
SAN DIEGO, CA 92134-7000
Phone number: 619-993-6090
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Mailing Address
MR. RYAN MATTHEW IRVINE
34101 FARENHOLT AVE BLDG 14, IDC
SAN DIEGO, CA 92134-7000
Phone number: 619-993-6090
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