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1144908252
RYAN CASEY
MERIDIAN, ID
NPI
1144908252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-07-10
Last Update Date
2024-04-24
Business Address
Mr. RYAN CASEY
1648 NW 1ST ST
MERIDIAN, ID 83642-2212
Phone number: 208-888-9393
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Mailing Address
Mr. RYAN CASEY
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-985-1423
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