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1134709694
MICHAEL JOHN RYAN
FORT DODGE, IA
NPI
1134709694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 21033)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
MICHAEL JOHN RYAN BA, CADC
211 AVENUE M W
FORT DODGE, IA 50501-5789
Phone number: 515-576-7261
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Mailing Address
MICHAEL JOHN RYAN BA, CADC
211 AVENUE M W
FORT DODGE, IA 50501-5789
Phone number: 515-576-7261
Copy
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