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1154860906
RYAN SLADE
SAN DIEGO, CA
NPI
1154860906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48559)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
RYAN SLADE
235 NUTMEG ST
SAN DIEGO, CA 92103-6201
Phone number: 619-239-8687
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Mailing Address
RYAN SLADE
6725 MISSION GORGE RD UNIT 203B
SAN DIEGO, CA 92120-2427
Phone number: 619-337-4213
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