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1164283529
RYAN KINGSOLVER
PROVO, UT
NPI
1164283529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-01-22
Last Update Date
2024-05-14
Business Address
RYAN KINGSOLVER PA-C
2230 N UNIVERSITY PKWY STE 9B
PROVO, UT 84604-6717
Phone number: 801-375-3175
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Mailing Address
RYAN KINGSOLVER PA-C
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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